Displaying 178031-178040 of 1611142 results.
ID:
178031
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
721787
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
178032
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
860215
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
178033
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
860221
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
178034
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
198056
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
178035
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
351276
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
178036
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
349194
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
178037
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
349195
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
178038
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
349198
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
178039
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
403825
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
178040
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
312439
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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