Displaying 179181-179190 of 1611142 results.
ID:
179181
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
197361
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
179182
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
310432
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
270
Qty Limit Days:
30
ID:
179183
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
311880
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
179184
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
317174
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
179185
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
312745
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
179186
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
616483
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
179187
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
312743
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
179188
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
637173
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
179189
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
312840
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
36
Qty Limit Days:
28
ID:
179190
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
314209
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
36
Qty Limit Days:
28
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