Displaying 177791-177800 of 1611142 results.
ID:
177791
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
198332
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
177792
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
856987
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
390
Qty Limit Days:
30
ID:
177793
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
856992
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
390
Qty Limit Days:
30
ID:
177794
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
311989
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
177795
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
1091389
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
177796
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
1091322
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
177797
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
1091152
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
177798
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
608623
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
177799
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
608624
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
177800
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
197702
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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