Displaying 179791-179800 of 1611142 results.
ID:
179791
Formulary ID:
00021079
Formulary Version:
13
Contract Year:
2021
RXCUI:
1011987
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
179792
Formulary ID:
00021079
Formulary Version:
13
Contract Year:
2021
RXCUI:
1009341
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
179793
Formulary ID:
00021079
Formulary Version:
13
Contract Year:
2021
RXCUI:
1190955
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
179794
Formulary ID:
00021079
Formulary Version:
13
Contract Year:
2021
RXCUI:
1190957
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
179795
Formulary ID:
00021079
Formulary Version:
13
Contract Year:
2021
RXCUI:
1595462
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
179796
Formulary ID:
00021079
Formulary Version:
13
Contract Year:
2021
RXCUI:
1595473
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
179797
Formulary ID:
00021079
Formulary Version:
13
Contract Year:
2021
RXCUI:
1595478
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
179798
Formulary ID:
00021079
Formulary Version:
13
Contract Year:
2021
RXCUI:
1595292
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
179799
Formulary ID:
00021079
Formulary Version:
13
Contract Year:
2021
RXCUI:
1995479
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
179800
Formulary ID:
00021079
Formulary Version:
13
Contract Year:
2021
RXCUI:
1595457
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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