Displaying 177221-177230 of 1611142 results.
ID:
177221
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
198041
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
177222
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
582926
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
177223
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
1597123
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
300
Qty Limit Days:
30
ID:
177224
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
1597129
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
300
Qty Limit Days:
30
ID:
177225
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
828299
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
177226
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
1745091
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
177227
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
1801289
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
177228
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
857564
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
177229
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
311892
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
177230
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
311893
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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