Displaying 178311-178320 of 1611142 results.
ID:
178311
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
1091623
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
178312
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
1543069
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
36
Qty Limit Days:
30
ID:
178313
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
1010878
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
178314
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
1085741
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
178315
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
1191302
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
178316
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
1370763
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
118
Qty Limit Days:
30
ID:
178317
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
1190357
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
178318
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
2180999
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
178319
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
1716268
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
178320
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
1921598
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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