Displaying 178791-178800 of 1611142 results.
ID:
178791
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
831325
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
178792
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
831349
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
178793
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
1801298
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
178794
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
1801294
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
178795
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
311192
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
178796
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
311197
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
178797
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
311196
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
178798
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
1738803
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
178799
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
1738805
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
178800
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
1738807
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
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