Displaying 179151-179160 of 1611142 results.
ID:
179151
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
861237
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
179152
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
861221
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
179153
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
861223
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
179154
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
861225
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
179155
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
861227
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
179156
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
861232
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
179157
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
1367436
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
179158
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
647237
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
179159
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
647239
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
179160
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
198313
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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