Displaying 179351-179360 of 1611142 results.
ID:
179351
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
199381
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
179352
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
898490
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
179353
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
686429
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
179354
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
284201
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
18
Qty Limit Days:
28
ID:
179355
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
351134
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
18
Qty Limit Days:
28
ID:
179356
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
314142
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
180
Qty Limit Days:
30
ID:
179357
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
311919
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
179358
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
1988308
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
179359
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
1988311
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
179360
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
1988316
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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