Displaying 178081-178090 of 1611142 results.
ID:
178081
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
1147228
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
240
Qty Limit Days:
30
ID:
178082
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
2197873
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
150
Qty Limit Days:
30
ID:
178083
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
2197877
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
178084
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
205532
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
178085
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
1592285
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
270
Qty Limit Days:
30
ID:
178086
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
1868016
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
270
Qty Limit Days:
30
ID:
178087
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
1868020
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
178088
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
1727485
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
240
Qty Limit Days:
30
ID:
178089
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
1441530
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
3
Qty Limit Days:
28
ID:
178090
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
1242998
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
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