Displaying 178411-178420 of 1611142 results.
ID:
178411
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
993456
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
1
Qty Limit Days:
180
ID:
178412
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
1046402
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
178413
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
1649491
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
178414
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
1649495
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
178415
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
2168596
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
178416
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
858125
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
178417
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
858127
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
178418
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
197699
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
178419
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
197700
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
178420
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
596926
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
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