Displaying 177911-177920 of 1611142 results.
ID:
177911
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
1992273
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
100
Qty Limit Days:
28
ID:
177912
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
855168
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
177913
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
198245
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
177914
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
1597076
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
150
Qty Limit Days:
30
ID:
177915
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
1053753
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
28
ID:
177916
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
1006688
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
177917
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
861434
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
28
ID:
177918
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
197785
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
177919
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
197803
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
177920
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
861490
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
236
Qty Limit Days:
28
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