Displaying 179541-179550 of 1611142 results.
ID:
179541
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
883826
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
179542
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
1659929
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
179543
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
2058906
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
179544
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
1872458
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
179545
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
2049133
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
180
Qty Limit Days:
30
ID:
179546
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
2049121
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
180
Qty Limit Days:
30
ID:
179547
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
1365979
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
179548
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
432400
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
179549
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
1940654
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
179550
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
1866047
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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