Displaying 177741-177750 of 1611142 results.
ID:
177741
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
1364581
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
177742
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
1790175
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
177743
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
1790167
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
177744
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
1790171
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
177745
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
197703
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
177746
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
1300783
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
177747
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
831261
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
177748
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
829500
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
177749
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
861025
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
765
Qty Limit Days:
30
ID:
177750
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
881341
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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