Displaying 178511-178520 of 1611142 results.
ID:
178511
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
104206
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
178512
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
1998774
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
10
Qty Limit Days:
30
ID:
178513
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
1998772
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
21
Qty Limit Days:
30
ID:
178514
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
1550946
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
178515
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
213360
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
178516
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
404449
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
178517
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
700418
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
178518
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
404450
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
178519
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
1242233
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
28
Qty Limit Days:
28
ID:
178520
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
616116
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
28
Qty Limit Days:
28
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