Displaying 178841-178850 of 1611142 results.
ID:
178841
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
686418
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
178842
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
476345
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
178843
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
476349
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
178844
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
476350
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
178845
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
476351
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
178846
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
835829
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
178847
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
860975
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
178848
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
860981
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
178849
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
312136
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
178850
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
312137
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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