Displaying 177121-177130 of 1611142 results.
ID:
177121
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
197634
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
177122
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
309844
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
240
Qty Limit Days:
30
ID:
177123
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
865117
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
177124
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
865123
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
177125
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
860918
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
177126
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
859841
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
177127
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
313159
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
36
Qty Limit Days:
28
ID:
177128
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
197516
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
177129
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
197517
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
177130
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
996740
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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