Displaying 178101-178110 of 1611142 results.
ID:
178101
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
1923432
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
178102
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
578018
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
178103
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
477391
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
178104
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
197877
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
178105
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
1010739
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
178106
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
391937
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
178107
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
197305
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
178108
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
313786
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
178109
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
212787
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
178110
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
1312408
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
84
Qty Limit Days:
28
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