Displaying 179761-179770 of 1611142 results.
ID:
179761
Formulary ID:
00021079
Formulary Version:
13
Contract Year:
2021
RXCUI:
804186
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
179762
Formulary ID:
00021079
Formulary Version:
13
Contract Year:
2021
RXCUI:
1292459
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
179763
Formulary ID:
00021079
Formulary Version:
13
Contract Year:
2021
RXCUI:
1658106
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
179764
Formulary ID:
00021079
Formulary Version:
13
Contract Year:
2021
RXCUI:
1658102
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
179765
Formulary ID:
00021079
Formulary Version:
13
Contract Year:
2021
RXCUI:
798451
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
179766
Formulary ID:
00021079
Formulary Version:
13
Contract Year:
2021
RXCUI:
830263
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
179767
Formulary ID:
00021079
Formulary Version:
13
Contract Year:
2021
RXCUI:
1658150
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
179768
Formulary ID:
00021079
Formulary Version:
13
Contract Year:
2021
RXCUI:
2055815
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
179769
Formulary ID:
00021079
Formulary Version:
13
Contract Year:
2021
RXCUI:
2475856
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
179770
Formulary ID:
00021079
Formulary Version:
13
Contract Year:
2021
RXCUI:
2475860
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
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