Displaying 179201-179210 of 1611142 results.
ID:
179201
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
409823
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
179202
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
849833
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
179203
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
892582
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
180
Qty Limit Days:
30
ID:
179204
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
892672
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
180
Qty Limit Days:
30
ID:
179205
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
1923822
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
179206
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
1923828
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
179207
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
1923826
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
179208
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
1490026
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
179209
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
1490034
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
179210
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
1490038
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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