Displaying 178811-178820 of 1611142 results.
ID:
178811
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
866482
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
178812
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
866479
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
178813
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
349401
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
178814
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
349405
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
178815
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
205322
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
178816
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
205323
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
178817
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
403853
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
178818
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
403854
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
178819
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
403855
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
178820
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
859981
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
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