Displaying 179421-179430 of 1611142 results.
ID:
179421
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
751553
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
179422
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
1251336
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
179423
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
749157
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
179424
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
748798
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
179425
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
1053697
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
28
ID:
179426
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
197849
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
179427
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
308725
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
179428
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
855657
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
179429
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
1812011
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
179430
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
1812013
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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