Displaying 178281-178290 of 1611142 results.
ID:
178281
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
312839
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
36
Qty Limit Days:
28
ID:
178282
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
312837
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
36
Qty Limit Days:
28
ID:
178283
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
1359127
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
178284
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
1091341
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
178285
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
1359124
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
178286
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
403884
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
178287
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
310599
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
178288
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
856535
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
178289
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
856569
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
178290
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
856460
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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