Displaying 178551-178560 of 1611142 results.
ID:
178551
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
1236632
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
178552
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
1359271
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
178553
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
758555
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
178554
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
1052660
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
178555
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
1250723
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
178556
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
1600710
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
178557
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
1999587
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
178558
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
1364515
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
178559
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
2373941
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
178560
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
2049677
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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