Displaying 179851-179860 of 1611142 results.
ID:
179851
Formulary ID:
00021079
Formulary Version:
13
Contract Year:
2021
RXCUI:
310793
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
179852
Formulary ID:
00021079
Formulary Version:
13
Contract Year:
2021
RXCUI:
835589
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
179853
Formulary ID:
00021079
Formulary Version:
13
Contract Year:
2021
RXCUI:
477234
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
179854
Formulary ID:
00021079
Formulary Version:
13
Contract Year:
2021
RXCUI:
199519
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
179855
Formulary ID:
00021079
Formulary Version:
13
Contract Year:
2021
RXCUI:
197624
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
179856
Formulary ID:
00021079
Formulary Version:
13
Contract Year:
2021
RXCUI:
1437968
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
179857
Formulary ID:
00021079
Formulary Version:
13
Contract Year:
2021
RXCUI:
1437969
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
179858
Formulary ID:
00021079
Formulary Version:
13
Contract Year:
2021
RXCUI:
897657
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
2400
Qty Limit Days:
30
ID:
179859
Formulary ID:
00021079
Formulary Version:
13
Contract Year:
2021
RXCUI:
1049604
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
1200
Qty Limit Days:
30
ID:
179860
Formulary ID:
00021079
Formulary Version:
13
Contract Year:
2021
RXCUI:
1874559
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
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