Displaying 178421-178430 of 1611142 results.
ID:
178421
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
596930
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
178422
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
596934
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
178423
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
308192
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
178424
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
834061
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
178425
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
834102
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
178426
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
310436
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
178427
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
310437
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
178428
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
579148
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
178429
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
104894
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
178430
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
861132
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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