Displaying 179451-179460 of 1611142 results.
ID:
179451
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
830837
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
179452
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
830801
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
179453
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
352257
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
540
Qty Limit Days:
30
ID:
179454
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
1364477
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
179455
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
1602028
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
179456
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
1602034
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
179457
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
1602040
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
179458
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
1602046
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
179459
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
2265729
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
179460
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
2265732
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
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