Displaying 177131-177140 of 1611142 results.
ID:
177131
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
311369
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
177132
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
1482908
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
177133
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
311166
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
177134
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
197832
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
177135
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
349196
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
177136
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
349197
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
300
Qty Limit Days:
30
ID:
177137
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
835913
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
177138
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
1000405
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
177139
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
977883
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
177140
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
197863
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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