Displaying 178161-178170 of 1611142 results.
ID:
178161
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
1251922
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
178162
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
1739788
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
178163
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
1149617
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
178164
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
213197
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
178165
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
997010
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
178166
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
861353
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
100
Qty Limit Days:
28
ID:
178167
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
866427
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
178168
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
866412
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
178169
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
866419
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
178170
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
198034
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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