Displaying 177411-177420 of 1611142 results.
ID:
177411
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
992475
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
177412
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
995258
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
177413
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
1297753
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
177414
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
1297757
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
177415
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
1049621
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
360
Qty Limit Days:
30
ID:
177416
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
2101899
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
177417
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
1049683
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
180
Qty Limit Days:
30
ID:
177418
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
1049686
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
180
Qty Limit Days:
30
ID:
177419
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
1091150
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
177420
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
1091133
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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