Displaying 178351-178360 of 1611142 results.
ID:
178351
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
313990
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
178352
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
198051
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
178353
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
312077
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
178354
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
312132
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
178355
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
313412
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
178356
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
313413
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
178357
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
314286
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
178358
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
313776
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
178359
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
313777
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
178360
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
313778
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
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