Displaying 178431-178440 of 1611142 results.
ID:
178431
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
310352
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
178432
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
310353
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
178433
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
200257
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
960
Qty Limit Days:
30
ID:
178434
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
200256
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
480
Qty Limit Days:
30
ID:
178435
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
200258
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
240
Qty Limit Days:
30
ID:
178436
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
313582
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
178437
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
313584
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
178438
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
314277
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
178439
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
313586
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
178440
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
311759
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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