Displaying 177421-177430 of 1611142 results.
ID:
177421
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
863664
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
177422
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
1012017
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
177423
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
2055676
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
177424
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
2055672
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
177425
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
314111
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
177426
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
858798
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
50
Qty Limit Days:
30
ID:
177427
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
197738
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
177428
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
311725
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
177429
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
311726
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
177430
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
993770
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
360
Qty Limit Days:
30
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