Displaying 178761-178770 of 1611142 results.
ID:
178761
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
1243229
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
178762
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
404587
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
178763
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
616148
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
178764
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
639888
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
178765
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
1744003
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
178766
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
1744007
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
178767
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
1744011
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
178768
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
901614
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
84
Qty Limit Days:
28
ID:
178769
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
1147337
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
178770
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
1306298
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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