Displaying 178571-178580 of 1611142 results.
ID:
178571
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
198145
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
178572
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
313215
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
178573
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
313217
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
178574
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
313219
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
178575
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
260376
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
178576
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
857706
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
178577
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
1359105
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
178578
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
328161
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
178579
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
197971
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
178580
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
861064
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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