Displaying 177431-177440 of 1611142 results.
ID:
177431
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
993890
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
180
Qty Limit Days:
30
ID:
177432
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
864718
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
240
Qty Limit Days:
30
ID:
177433
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
977939
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
180
Qty Limit Days:
30
ID:
177434
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
977942
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
360
Qty Limit Days:
30
ID:
177435
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
197593
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
177436
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
199168
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
177437
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
312357
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
177438
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
312362
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
177439
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
2106334
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
177440
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
1661220
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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