Displaying 178111-178120 of 1611142 results.
ID:
178111
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
1439894
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
178112
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
1439896
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
178113
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
1439899
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
178114
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
1439901
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
178115
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
1439903
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
178116
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
2105657
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
180
Qty Limit Days:
30
ID:
178117
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
2105645
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
178118
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
2105653
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
300
Qty Limit Days:
30
ID:
178119
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
2180336
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
178120
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
615979
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
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