Displaying 178631-178640 of 1611142 results.
ID:
178631
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
197628
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
178632
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
199390
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
178633
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
197553
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
178634
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
328160
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
178635
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
310490
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
240
Qty Limit Days:
30
ID:
178636
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
310488
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
178637
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
993687
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
178638
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
993691
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
178639
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
903887
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
178640
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
903891
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
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