Displaying 177631-177640 of 1611142 results.
ID:
177631
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
242800
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
177632
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
312127
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
177633
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
1721315
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
177634
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
1721314
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
177635
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
1361574
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
177636
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
351246
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
177637
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
200193
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
18
Qty Limit Days:
28
ID:
177638
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
200194
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
18
Qty Limit Days:
28
ID:
177639
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
317094
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
177640
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
349435
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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