Displaying 179801-179810 of 1611142 results.
ID:
179801
Formulary ID:
00021079
Formulary Version:
13
Contract Year:
2021
RXCUI:
351750
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
179802
Formulary ID:
00021079
Formulary Version:
13
Contract Year:
2021
RXCUI:
153579
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
179803
Formulary ID:
00021079
Formulary Version:
13
Contract Year:
2021
RXCUI:
153580
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
179804
Formulary ID:
00021079
Formulary Version:
13
Contract Year:
2021
RXCUI:
2268231
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
20
Qty Limit Days:
30
ID:
179805
Formulary ID:
00021079
Formulary Version:
13
Contract Year:
2021
RXCUI:
2268227
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
20
Qty Limit Days:
30
ID:
179806
Formulary ID:
00021079
Formulary Version:
13
Contract Year:
2021
RXCUI:
402092
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
179807
Formulary ID:
00021079
Formulary Version:
13
Contract Year:
2021
RXCUI:
861637
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
179808
Formulary ID:
00021079
Formulary Version:
13
Contract Year:
2021
RXCUI:
861206
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
179809
Formulary ID:
00021079
Formulary Version:
13
Contract Year:
2021
RXCUI:
904170
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
179810
Formulary ID:
00021079
Formulary Version:
13
Contract Year:
2021
RXCUI:
1859000
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
15
Qty Limit Days:
30
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