Displaying 179461-179470 of 1611142 results.
ID:
179461
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
2265735
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
179462
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
877417
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
179463
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
1495070
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
179464
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
199888
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
179465
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
151226
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
179466
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
199889
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
179467
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
311486
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
179468
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
904396
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
4
Qty Limit Days:
28
ID:
179469
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
199672
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
179470
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
252559
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
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