Displaying 179361-179370 of 1611142 results.
ID:
179361
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
1988319
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
179362
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
1988324
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
179363
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
1988330
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
179364
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
1649401
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
179365
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
2054979
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
179366
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
2054983
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
179367
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
2055016
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
179368
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
2055014
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
179369
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
197701
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
179370
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
310433
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
180
Qty Limit Days:
30
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