Displaying 179671-179680 of 1611142 results.
ID:
179671
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
2178792
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
2
Qty Limit Days:
30
ID:
179672
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
644304
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
179673
Formulary ID:
00021079
Formulary Version:
13
Contract Year:
2021
RXCUI:
1551300
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
2
Qty Limit Days:
28
ID:
179674
Formulary ID:
00021079
Formulary Version:
13
Contract Year:
2021
RXCUI:
1551306
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
2
Qty Limit Days:
28
ID:
179675
Formulary ID:
00021079
Formulary Version:
13
Contract Year:
2021
RXCUI:
2058877
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
2
Qty Limit Days:
30
ID:
179676
Formulary ID:
00021079
Formulary Version:
13
Contract Year:
2021
RXCUI:
1745108
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
1
Qty Limit Days:
28
ID:
179677
Formulary ID:
00021079
Formulary Version:
13
Contract Year:
2021
RXCUI:
2395779
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
2
Qty Limit Days:
28
ID:
179678
Formulary ID:
00021079
Formulary Version:
13
Contract Year:
2021
RXCUI:
2058887
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
2
Qty Limit Days:
30
ID:
179679
Formulary ID:
00021079
Formulary Version:
13
Contract Year:
2021
RXCUI:
2370174
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
179680
Formulary ID:
00021079
Formulary Version:
13
Contract Year:
2021
RXCUI:
2170613
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
3
Qty Limit Days:
30
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