Displaying 177311-177320 of 1611142 results.
ID:
177311
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
1654630
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
177312
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
2000007
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
12
Qty Limit Days:
28
ID:
177313
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
309339
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
177314
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
309335
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
177315
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
309336
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
177316
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
308207
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
177317
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
1721475
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
177318
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
789980
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
177319
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
828755
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
177320
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
828539
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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