Displaying 178561-178570 of 1611142 results.
ID:
178561
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
762675
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
178562
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
259966
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
178563
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
197973
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
178564
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
401953
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
178565
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
401954
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
178566
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
616698
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
178567
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
616705
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
178568
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
312635
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
178569
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
198365
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
178570
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
995666
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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