Displaying 179121-179130 of 1611142 results.
ID:
179121
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
2052064
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
179122
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
861375
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
179123
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
861370
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
179124
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
1373745
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
179125
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
1922783
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
179126
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
485442
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
179127
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
485465
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
179128
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
1442143
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
179129
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
1729053
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
179130
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
1729057
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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