Displaying 177551-177560 of 1611142 results.
ID:
177551
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
485023
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
177552
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
309362
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
177553
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
198223
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
177554
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
485020
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
177555
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
856364
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
177556
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
863636
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
177557
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
863619
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
177558
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
863628
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
177559
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
314080
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
177560
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
1190655
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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