Displaying 177151-177160 of 1611142 results.
ID:
177151
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
1000141
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
177152
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
197658
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
177153
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
197659
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
177154
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
197657
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
177155
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
541878
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
177156
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
541892
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
177157
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
577961
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
177158
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
541363
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
177159
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
404059
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
177160
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
404062
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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