Displaying 178711-178720 of 1611142 results.
ID:
178711
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
966246
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
178712
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
966241
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
178713
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
966243
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
178714
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
1049223
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
360
Qty Limit Days:
30
ID:
178715
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
1049227
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
360
Qty Limit Days:
30
ID:
178716
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
1049216
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
360
Qty Limit Days:
30
ID:
178717
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
854801
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
178718
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
313477
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
178719
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
861200
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
178720
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
861208
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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