Displaying 179211-179220 of 1611142 results.
ID:
179211
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
313580
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
179212
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
1996246
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
179213
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
859081
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
180
Qty Limit Days:
30
ID:
179214
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
846192
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
179215
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
759697
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
179216
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
759481
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
179217
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
2046376
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
4
Qty Limit Days:
30
ID:
179218
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
1486691
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
179219
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
1111020
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
179220
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
1653221
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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