Displaying 177521-177530 of 1611142 results.
ID:
177521
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
197958
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
177522
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
200064
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
177523
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
199224
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
177524
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
313190
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
177525
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
198377
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
177526
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
198378
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
177527
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
1483744
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
177528
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
310346
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
177529
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
721791
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
177530
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
721794
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
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