Displaying 179381-179390 of 1611142 results.
ID:
179381
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
151029
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
179382
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
311265
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
179383
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
311264
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
179384
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
897649
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
179385
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
349594
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
179386
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
349595
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
179387
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
608143
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
179388
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
608139
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
179389
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
897659
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
179390
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
897640
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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