Displaying 179011-179020 of 1611142 results.
ID:
179011
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
2110783
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
8
Qty Limit Days:
28
ID:
179012
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
2110786
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
8
Qty Limit Days:
28
ID:
179013
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
2183131
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
179014
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
1873765
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
179015
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
539789
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
9
Qty Limit Days:
30
ID:
179016
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
856666
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
179017
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
979115
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
179018
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
1244062
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
179019
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
1244064
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
179020
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
637216
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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