Displaying 179641-179650 of 1611142 results.
ID:
179641
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
2478450
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
179642
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
2369403
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
179643
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
1247381
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
179644
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
905059
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
179645
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
905064
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
179646
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
905057
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
179647
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
198050
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
179648
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
198049
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
179649
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
1251334
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
179650
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
1190110
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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