Displaying 178821-178830 of 1611142 results.
ID:
178821
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
859975
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
178822
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
283316
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
178823
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
283317
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
178824
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
477130
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
178825
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
849389
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
178826
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
313407
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
178827
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
313408
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
178828
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
1536490
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
178829
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
310878
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
178830
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
1049696
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
360
Qty Limit Days:
30
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