Displaying 177821-177830 of 1611142 results.
ID:
177821
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
898719
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
177822
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
1100184
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
177823
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
857169
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
177824
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
857183
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
177825
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
857187
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
177826
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
197732
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
177827
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
312750
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
177828
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
312748
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
177829
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
312079
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
177830
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
208185
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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