Displaying 177201-177210 of 1611142 results.
ID:
177201
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
311385
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
177202
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
314075
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
177203
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
310812
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
177204
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
861427
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
177205
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
991086
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
177206
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
314006
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
177207
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
315107
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
177208
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
310489
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
240
Qty Limit Days:
30
ID:
177209
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
1375948
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
177210
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
250344
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
28
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