Displaying 179161-179170 of 1611142 results.
ID:
179161
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
198312
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
179162
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
833461
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
400
Qty Limit Days:
30
ID:
179163
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
352210
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
179164
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
198175
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
179165
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
1490032
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
179166
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
1490036
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
179167
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
1490040
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
179168
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
351156
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
179169
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
1361615
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
179170
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
1361226
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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