Displaying 177071-177080 of 1611142 results.
ID:
177071
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
309092
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
177072
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
1665005
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
177073
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
311683
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
177074
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
727575
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
177075
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
1040012
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
177076
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
1040016
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
177077
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
1653470
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
177078
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
1086776
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
177079
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
1086780
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
177080
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
1086786
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
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