Displaying 178131-178140 of 1611142 results.
ID:
178131
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
1545156
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
178132
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
858074
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
178133
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
858051
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
178134
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
858057
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
178135
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
858055
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
178136
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
858053
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
178137
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
2059017
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
178138
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
1232084
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
178139
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
1232088
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
178140
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
1114202
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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