Displaying 178171-178180 of 1611142 results.
ID:
178171
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
198035
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
178172
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
198036
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
178173
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
1193341
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
178174
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
1193337
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
178175
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
1193345
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
178176
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
1193349
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
178177
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
1193353
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
178178
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
2359344
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
14
Qty Limit Days:
21
ID:
178179
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
2359348
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
14
Qty Limit Days:
21
ID:
178180
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
2359340
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
14
Qty Limit Days:
21
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