Displaying 179141-179150 of 1611142 results.
ID:
179141
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
314230
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
179142
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
628958
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
179143
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
349591
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
179144
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
349592
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
179145
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
349593
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
179146
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
1011736
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
179147
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
1011739
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
179148
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
388311
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
179149
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
200133
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
179150
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
200131
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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