Displaying 179391-179400 of 1611142 results.
ID:
179391
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
897781
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
179392
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
897783
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
179393
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
897844
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
179394
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
855480
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
179395
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
855474
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
179396
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
749860
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
179397
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
198373
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
179398
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
897853
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
179399
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
859033
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
179400
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
859040
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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