Displaying 177831-177840 of 1611142 results.
ID:
177831
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
577127
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
177832
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
404013
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
177833
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
404011
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
177834
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
597990
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
177835
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
597984
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
177836
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
597993
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
177837
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
597967
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
177838
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
597980
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
177839
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
597974
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
177840
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
597987
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
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