Displaying 179971-179980 of 1611142 results.
ID:
179971
Formulary ID:
00021079
Formulary Version:
13
Contract Year:
2021
RXCUI:
152971
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
179972
Formulary ID:
00021079
Formulary Version:
13
Contract Year:
2021
RXCUI:
2166143
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
1
Qty Limit Days:
28
ID:
179973
Formulary ID:
00021079
Formulary Version:
13
Contract Year:
2021
RXCUI:
2196900
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
179974
Formulary ID:
00021079
Formulary Version:
13
Contract Year:
2021
RXCUI:
1873087
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
3
Qty Limit Days:
180
ID:
179975
Formulary ID:
00021079
Formulary Version:
13
Contract Year:
2021
RXCUI:
1541594
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
179976
Formulary ID:
00021079
Formulary Version:
13
Contract Year:
2021
RXCUI:
835896
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
179977
Formulary ID:
00021079
Formulary Version:
13
Contract Year:
2021
RXCUI:
835835
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
179978
Formulary ID:
00021079
Formulary Version:
13
Contract Year:
2021
RXCUI:
1115468
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
179979
Formulary ID:
00021079
Formulary Version:
13
Contract Year:
2021
RXCUI:
1926069
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
179980
Formulary ID:
00021079
Formulary Version:
13
Contract Year:
2021
RXCUI:
1115259
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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