Displaying 177761-177770 of 1611142 results.
ID:
177761
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
905341
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
177762
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
905347
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
177763
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
1298910
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
177764
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
1298816
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
177765
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
1298906
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
177766
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
858613
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
177767
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
858616
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
177768
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
858747
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
177769
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
1542997
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
4
Qty Limit Days:
28
ID:
177770
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
1432969
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
4
Qty Limit Days:
28
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