Displaying 179531-179540 of 1611142 results.
ID:
179531
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
2107518
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
179532
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
1437713
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
179533
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
1918242
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
179534
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
1862595
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
179535
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
1921589
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
179536
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
1862590
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
179537
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
1666542
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
179538
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
831246
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
179539
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
849515
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
179540
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
833008
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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