Displaying 177571-177580 of 1611142 results.
ID:
177571
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
905222
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
177572
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
197855
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
177573
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
197856
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
177574
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
897683
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
177575
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
314184
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
177576
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
311918
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
18
Qty Limit Days:
28
ID:
177577
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
314135
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
18
Qty Limit Days:
28
ID:
177578
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
897722
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
177579
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
197942
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
177580
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
197941
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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