Displaying 179071-179080 of 1611142 results.
ID:
179071
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
979471
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
179072
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
198188
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
179073
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
313134
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
179074
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
562508
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
179075
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
849398
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
179076
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
849431
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
179077
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
861783
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
179078
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
617430
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
179079
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
199884
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
179080
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
311296
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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