Displaying 177721-177730 of 1611142 results.
ID:
177721
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
639537
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
177722
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
578325
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
177723
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
578330
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
177724
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
802749
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
177725
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
861822
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
177726
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
1095712
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
177727
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
1665515
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
177728
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
1719286
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
177729
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
2045201
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
177730
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
313115
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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