Displaying 179521-179530 of 1611142 results.
ID:
179521
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
1092357
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
179522
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
1665473
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
179523
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
1798370
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
179524
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
1798375
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
179525
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
200132
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
360
Qty Limit Days:
30
ID:
179526
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
199149
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
180
Qty Limit Days:
30
ID:
179527
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
199150
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
179528
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
311915
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
179529
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
1867544
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
179530
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
1725064
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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