Displaying 178461-178470 of 1611142 results.
ID:
178461
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
853354
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
0
Qty Limit Days:
28
ID:
178462
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
853356
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
1
Qty Limit Days:
28
ID:
178463
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
1100075
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
178464
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
1918044
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
178465
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
2000019
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
178466
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
1994362
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
178467
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
1442992
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
178468
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
2000023
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
178469
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
2000027
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
178470
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
2000031
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
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