Displaying 177031-177040 of 1611142 results.
ID:
177031
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
857005
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
360
Qty Limit Days:
30
ID:
177032
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
856999
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
360
Qty Limit Days:
30
ID:
177033
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
993781
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
360
Qty Limit Days:
30
ID:
177034
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
1049221
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
360
Qty Limit Days:
30
ID:
177035
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
1049225
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
360
Qty Limit Days:
30
ID:
177036
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
1049214
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
360
Qty Limit Days:
30
ID:
177037
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
1091497
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
177038
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
1091392
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
177039
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
1091145
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
177040
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
1091225
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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