Displaying 179111-179120 of 1611142 results.
ID:
179111
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
309058
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
179112
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
419849
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
179113
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
1800499
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
179114
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
992150
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
179115
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
724863
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
179116
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
724859
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
179117
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
724861
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
179118
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
403818
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
179119
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
730869
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
179120
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
897021
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
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