Displaying 177541-177550 of 1611142 results.
ID:
177541
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
349332
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
177542
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
351250
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
177543
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
856834
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
177544
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
856845
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
177545
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
856853
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
177546
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
856762
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
177547
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
856773
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
177548
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
429503
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
177549
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
310798
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
177550
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
197770
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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