Displaying 178451-178460 of 1611142 results.
ID:
178451
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
205331
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
178452
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
999967
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
178453
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
999996
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
178454
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
999986
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
178455
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
1000001
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
178456
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
999991
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
178457
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
984082
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
178458
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
1551923
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
178459
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
1601373
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
178460
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
1654079
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
0
Qty Limit Days:
28
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