Displaying 178521-178530 of 1611142 results.
ID:
178521
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
616114
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
28
Qty Limit Days:
28
ID:
178522
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
643714
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
28
Qty Limit Days:
28
ID:
178523
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
1429367
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
28
Qty Limit Days:
28
ID:
178524
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
643722
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
28
Qty Limit Days:
28
ID:
178525
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
1369724
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
178526
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
1369728
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
178527
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
1369732
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
178528
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
1369736
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
178529
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
1940376
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
178530
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
1940372
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
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