Displaying 177211-177220 of 1611142 results.
ID:
177211
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
1596781
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
177212
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
722122
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
177213
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
722116
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
177214
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
198250
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
177215
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
863559
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
177216
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
897612
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
177217
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
897618
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
177218
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
897624
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
177219
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
897630
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
177220
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
312025
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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