Displaying 178531-178540 of 1611142 results.
ID:
178531
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
2197501
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
178532
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
2396770
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
178533
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
2396774
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
178534
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
727816
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
4
Qty Limit Days:
28
ID:
178535
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
1650901
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
4
Qty Limit Days:
28
ID:
178536
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
2054995
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
178537
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
809477
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
178538
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
2123137
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
178539
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
2123141
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
178540
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
2123145
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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