Displaying 178981-178990 of 1611142 results.
ID:
178981
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
2399901
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
8
Qty Limit Days:
28
ID:
178982
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
198013
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
178983
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
198012
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
178984
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
1797113
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
178985
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
2399904
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
8
Qty Limit Days:
28
ID:
178986
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
1098141
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
178987
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
1098134
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
178988
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
577033
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
178989
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
995624
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
178990
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
2266506
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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