Displaying 179301-179310 of 1611142 results.
ID:
179301
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
748800
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
179302
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
1599949
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
180
Qty Limit Days:
30
ID:
179303
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
848180
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
179304
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
2123072
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
17
Qty Limit Days:
30
ID:
179305
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
314076
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
179306
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
314077
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
179307
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
205326
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
179308
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
646456
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
179309
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
310154
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
179310
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
848768
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
360
Qty Limit Days:
30
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