Displaying 177771-177780 of 1611142 results.
ID:
177771
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
904880
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
4
Qty Limit Days:
28
ID:
177772
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
891881
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
177773
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
891888
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
177774
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
891893
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
177775
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
891874
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
177776
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
892646
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
177777
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
848726
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
177778
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
848738
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
177779
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
848742
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
177780
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
848746
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
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