Displaying 177941-177950 of 1611142 results.
ID:
177941
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
2200177
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
177942
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
2200180
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
177943
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
2200183
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
177944
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
1648755
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
177945
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
725021
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
177946
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
725023
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
177947
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
311994
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
177948
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
311995
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
177949
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
1648759
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
177950
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
903847
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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