Displaying 178221-178230 of 1611142 results.
ID:
178221
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
313200
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
178222
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
103456
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
178223
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
310891
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
178224
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
308979
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
178225
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
197686
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
178226
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
197303
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
178227
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
197304
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
178228
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
197853
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
178229
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
858813
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
178230
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
858817
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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