Displaying 178441-178450 of 1611142 results.
ID:
178441
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
866511
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
178442
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
866514
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
178443
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
476809
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
178444
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
197499
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
178445
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
197500
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
178446
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
198105
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
178447
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
198104
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
178448
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
1662285
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
178449
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
205329
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
360
Qty Limit Days:
30
ID:
178450
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
205330
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
180
Qty Limit Days:
30
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