Displaying 178881-178890 of 1611142 results.
ID:
178881
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
1988768
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
178882
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
1921228
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
178883
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
1988772
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
178884
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
1988786
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
178885
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
1723763
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
3
Qty Limit Days:
28
ID:
178886
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
1723767
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
3
Qty Limit Days:
28
ID:
178887
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
1723772
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
3
Qty Limit Days:
28
ID:
178888
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
1726639
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
178889
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
1364362
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
178890
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
1364358
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
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