Displaying 177641-177650 of 1611142 results.
ID:
177641
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
349434
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
177642
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
1013930
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
177643
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
310289
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
177644
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
1043025
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
177645
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
1043031
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
177646
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
1373016
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
177647
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
855858
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
177648
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
313306
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
177649
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
884522
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
177650
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
856980
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
390
Qty Limit Days:
30
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