Displaying 177781-177790 of 1611142 results.
ID:
177781
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
848750
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
177782
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
848730
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
177783
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
848734
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
177784
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
848752
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
8
Qty Limit Days:
28
ID:
177785
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
1491624
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
177786
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
2381144
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
177787
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
465355
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
177788
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
979099
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
177789
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
967023
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
177790
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
967012
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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