Displaying 178151-178160 of 1611142 results.
ID:
178151
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
1739774
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
178152
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
2173500
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
10
Qty Limit Days:
30
ID:
178153
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
1739778
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
178154
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
1739782
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
178155
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
1739770
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
178156
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
1251914
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
178157
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
722256
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
178158
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
1251918
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
178159
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
724142
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
178160
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
724156
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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