Displaying 179021-179030 of 1611142 results.
ID:
179021
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
1673274
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
179022
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
1673278
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
179023
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
1673280
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
179024
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
1925264
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
179025
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
2049343
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
179026
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
312941
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
179027
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
312938
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
179028
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
308194
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
179029
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
308182
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
179030
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
283406
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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