Displaying 179411-179420 of 1611142 results.
ID:
179411
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
349373
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
179412
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
857216
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
179413
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
857224
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
179414
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
861512
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
125
Qty Limit Days:
28
ID:
179415
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
197572
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
179416
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
314266
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
100
Qty Limit Days:
30
ID:
179417
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
749784
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
179418
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
644088
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
179419
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
866905
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
179420
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
1041518
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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