Displaying 179311-179320 of 1611142 results.
ID:
179311
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
1738511
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
179312
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
205316
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
179313
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
205315
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
179314
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
313583
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
179315
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
313585
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
179316
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
992438
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
179317
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
992447
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
179318
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
310672
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
179319
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
314035
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
179320
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
197754
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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