Displaying 178191-178200 of 1611142 results.
ID:
178191
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
1999389
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
56
Qty Limit Days:
28
ID:
178192
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
1812470
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
112
Qty Limit Days:
28
ID:
178193
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
1655934
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
112
Qty Limit Days:
28
ID:
178194
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
2053512
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
56
Qty Limit Days:
28
ID:
178195
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
904447
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
1286
Qty Limit Days:
30
ID:
178196
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
904158
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
178197
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
861495
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
28
ID:
178198
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
861448
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
28
ID:
178199
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
309370
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
28
ID:
178200
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
103457
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
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