Displaying 178331-178340 of 1611142 results.
ID:
178331
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
318179
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
178332
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
283535
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
178333
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
858778
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
50
Qty Limit Days:
30
ID:
178334
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
198222
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
178335
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
198150
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
178336
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
96304
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
178337
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
998689
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
178338
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
998685
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
178339
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
206791
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
178340
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
580286
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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