Displaying 178931-178940 of 1611142 results.
ID:
178931
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
2371062
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
178932
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
2371066
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
178933
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
1482513
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
178934
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
1482517
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
178935
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
1482523
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
178936
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
1482527
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
178937
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
1235249
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
178938
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
1040036
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
178939
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
1431237
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
178940
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
1040043
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
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