Displaying 179811-179820 of 1611142 results.
ID:
179811
Formulary ID:
00021079
Formulary Version:
13
Contract Year:
2021
RXCUI:
1604544
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
179812
Formulary ID:
00021079
Formulary Version:
13
Contract Year:
2021
RXCUI:
2002420
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
179813
Formulary ID:
00021079
Formulary Version:
13
Contract Year:
2021
RXCUI:
1876406
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
8
Qty Limit Days:
28
ID:
179814
Formulary ID:
00021079
Formulary Version:
13
Contract Year:
2021
RXCUI:
2375329
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
8
Qty Limit Days:
28
ID:
179815
Formulary ID:
00021079
Formulary Version:
13
Contract Year:
2021
RXCUI:
2099302
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
4
Qty Limit Days:
28
ID:
179816
Formulary ID:
00021079
Formulary Version:
13
Contract Year:
2021
RXCUI:
1797880
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
179817
Formulary ID:
00021079
Formulary Version:
13
Contract Year:
2021
RXCUI:
1113046
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
179818
Formulary ID:
00021079
Formulary Version:
13
Contract Year:
2021
RXCUI:
863836
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
179819
Formulary ID:
00021079
Formulary Version:
13
Contract Year:
2021
RXCUI:
863841
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
179820
Formulary ID:
00021079
Formulary Version:
13
Contract Year:
2021
RXCUI:
863829
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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