Displaying 179231-179240 of 1611142 results.
ID:
179231
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
310274
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
179232
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
313570
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
40
Qty Limit Days:
10
ID:
179233
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
313571
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
80
Qty Limit Days:
10
ID:
179234
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
309049
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
179235
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
309048
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
179236
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
105171
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
179237
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
995599
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
179238
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
995607
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
179239
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
307650
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
179240
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
616402
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
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