Displaying 177401-177410 of 1611142 results.
ID:
177401
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
993541
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
177402
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
993557
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
177403
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
996097
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
177404
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
996615
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
177405
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
996594
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
177406
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
996603
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
177407
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
996609
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
177408
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
966920
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
177409
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
801054
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
177410
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
1540356
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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