Displaying 177731-177740 of 1611142 results.
ID:
177731
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
239240
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
177732
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
310291
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
177733
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
848956
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
177734
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
1596108
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
300
Qty Limit Days:
30
ID:
177735
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
809871
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
177736
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
197873
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
177737
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
864661
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
177738
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
2001424
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
177739
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
1363408
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
177740
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
1363410
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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