Displaying 178401-178410 of 1611142 results.
ID:
178401
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
966178
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
178402
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
966397
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
178403
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
966188
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
178404
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
966410
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
178405
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
966197
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
178406
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
966399
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
178407
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
966208
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
178408
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
966214
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
178409
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
1492746
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
178410
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
1605455
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
55
Qty Limit Days:
28
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