Displaying 178621-178630 of 1611142 results.
ID:
178621
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
831215
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
178622
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
831252
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
178623
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
831285
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
178624
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
312301
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
178625
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
197684
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
178626
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
197685
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
178627
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
859186
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
178628
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
197625
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
178629
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
197626
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
178630
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
197627
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
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