Displaying 178941-178950 of 1611142 results.
ID:
178941
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
1297357
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
178942
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
1356693
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
178943
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
1926823
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
178944
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
1926827
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
178945
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
1812434
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
178946
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
866111
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
178947
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
198252
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
178948
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
1373489
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
14
Qty Limit Days:
30
ID:
178949
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
1373493
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
178950
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
1373498
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
180
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