Displaying 179281-179290 of 1611142 results.
ID:
179281
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
826612
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
179282
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
848140
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
179283
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
848131
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
179284
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
848145
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
179285
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
848151
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
179286
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
848135
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
179287
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
672149
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
180
Qty Limit Days:
30
ID:
179288
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
477347
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
179289
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
642452
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
179290
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
602635
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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