Displaying 179631-179640 of 1611142 results.
ID:
179631
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
1665900
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
3
Qty Limit Days:
28
ID:
179632
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
1801322
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
3
Qty Limit Days:
28
ID:
179633
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
2262446
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
179634
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
2123034
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
179635
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
2274390
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
179636
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
1659183
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
2
Qty Limit Days:
28
ID:
179637
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
1659161
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
2
Qty Limit Days:
28
ID:
179638
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
2467571
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
179639
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
2467575
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
179640
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
2472789
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
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