Displaying 179721-179730 of 1611142 results.
ID:
179721
Formulary ID:
00021079
Formulary Version:
13
Contract Year:
2021
RXCUI:
1925257
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
2
Qty Limit Days:
28
ID:
179722
Formulary ID:
00021079
Formulary Version:
13
Contract Year:
2021
RXCUI:
1598989
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
179723
Formulary ID:
00021079
Formulary Version:
13
Contract Year:
2021
RXCUI:
1601660
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
179724
Formulary ID:
00021079
Formulary Version:
13
Contract Year:
2021
RXCUI:
1992428
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
179725
Formulary ID:
00021079
Formulary Version:
13
Contract Year:
2021
RXCUI:
213282
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
179726
Formulary ID:
00021079
Formulary Version:
13
Contract Year:
2021
RXCUI:
213283
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
179727
Formulary ID:
00021079
Formulary Version:
13
Contract Year:
2021
RXCUI:
213284
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
179728
Formulary ID:
00021079
Formulary Version:
13
Contract Year:
2021
RXCUI:
859865
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
179729
Formulary ID:
00021079
Formulary Version:
13
Contract Year:
2021
RXCUI:
352297
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
4
Qty Limit Days:
28
ID:
179730
Formulary ID:
00021079
Formulary Version:
13
Contract Year:
2021
RXCUI:
731328
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
2
Qty Limit Days:
28
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