Displaying 177081-177090 of 1611142 results.
ID:
177081
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
1805427
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
177082
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
1602588
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
177083
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
1805422
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
177084
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
1602594
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
177085
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
1858971
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
177086
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
1433250
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
28
Qty Limit Days:
28
ID:
177087
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
1433223
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
177088
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
1433229
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
177089
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
1433235
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
177090
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
1433241
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
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