Displaying 179001-179010 of 1611142 results.
ID:
179001
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
283523
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
2160
Qty Limit Days:
30
ID:
179002
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
198358
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
179003
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
1099569
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
179004
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
1244214
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
179005
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
197312
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
179006
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
485496
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
179007
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
348719
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
280
Qty Limit Days:
28
ID:
179008
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
2110774
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
8
Qty Limit Days:
28
ID:
179009
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
2110777
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
8
Qty Limit Days:
28
ID:
179010
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
2110780
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
8
Qty Limit Days:
28
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