Displaying 178201-178210 of 1611142 results.
ID:
178201
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
197407
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
178202
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
310364
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
178203
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
238920
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
178204
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
349351
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
178205
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
204135
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
178206
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
861487
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
100
Qty Limit Days:
28
ID:
178207
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
1992281
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
28
ID:
178208
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
203088
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
28
ID:
178209
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
313227
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
178210
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
857366
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
85
Qty Limit Days:
28
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