Displaying 178141-178150 of 1611142 results.
ID:
178141
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
1549683
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
178142
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
1650968
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
178143
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
1650972
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
178144
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
1650974
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
178145
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
1650976
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
178146
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
1811011
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
178147
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
1811007
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
178148
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
1811003
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
178149
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
1810999
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
178150
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
1739766
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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