Displaying 177951-177960 of 1611142 results.
ID:
177951
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
1307061
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
177952
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
1115698
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
177953
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
1308569
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
177954
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
1860491
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
177955
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
1860493
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
177956
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
1860495
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
177957
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
1860497
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
177958
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
1860499
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
177959
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
1860501
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
177960
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
351209
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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