Displaying 178581-178590 of 1611142 results.
ID:
178581
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
197787
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
178582
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
197782
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
178583
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
197783
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
178584
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
313142
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
178585
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
312347
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
178586
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
198108
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
178587
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
1048450
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
178588
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
1020065
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
4
Qty Limit Days:
28
ID:
178589
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
1048445
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
178590
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
855194
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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