Displaying 179241-179250 of 1611142 results.
ID:
179241
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
309097
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
179242
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
309098
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
179243
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
835572
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
179244
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
835591
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
179245
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
835577
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
179246
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
312940
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
179247
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
309080
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
179248
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
309081
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
179249
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
197452
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
179250
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
197453
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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