Displaying 178121-178130 of 1611142 results.
ID:
178121
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
211140
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
178122
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
1373469
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
178123
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
1373473
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
178124
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
706831
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
178125
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
706827
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
178126
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
706829
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
178127
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
706825
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
178128
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
1545166
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
178129
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
1545163
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
178130
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
1545159
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
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