Displaying 177931-177940 of 1611142 results.
ID:
177931
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
199592
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
177932
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
483090
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
177933
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
476399
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
177934
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
476515
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
177935
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
805464
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
240
Qty Limit Days:
30
ID:
177936
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
1659927
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
177937
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
2046585
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
177938
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
403878
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
180
Qty Limit Days:
30
ID:
177939
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
1098143
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
177940
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
2200174
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
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