Displaying 178211-178220 of 1611142 results.
ID:
178211
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
313226
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
178212
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
308715
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
28
ID:
178213
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
848208
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
178214
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
848176
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
178215
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
848178
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
178216
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
861505
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
118
Qty Limit Days:
28
ID:
178217
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
312139
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
28
ID:
178218
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
896110
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
28
ID:
178219
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
1191310
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
178220
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
1246096
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
28
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