Displaying 179591-179600 of 1611142 results.
ID:
179591
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
2058520
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
179592
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
2058525
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
179593
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
208083
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
179594
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
2104341
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
179595
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
2275613
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
179596
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
2272118
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
179597
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
2272122
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
179598
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
2272126
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
179599
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
2394947
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
179600
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
2199304
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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