Displaying 179221-179230 of 1611142 results.
ID:
179221
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
2046380
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
179222
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
2046370
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
15
Qty Limit Days:
30
ID:
179223
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
311288
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
179224
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
311289
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
179225
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
387003
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
179226
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
807832
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
179227
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
846378
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
179228
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
309112
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
179229
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
309114
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
179230
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
828373
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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