Displaying 171-180 of 1611142 results.
ID:
171
Formulary ID:
00021000
Formulary Version:
14
Contract Year:
2021
RXCUI:
1437968
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
172
Formulary ID:
00021000
Formulary Version:
14
Contract Year:
2021
RXCUI:
1437969
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
173
Formulary ID:
00021000
Formulary Version:
14
Contract Year:
2021
RXCUI:
897657
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
1200
Qty Limit Days:
30
ID:
174
Formulary ID:
00021000
Formulary Version:
14
Contract Year:
2021
RXCUI:
1049604
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
1300
Qty Limit Days:
30
ID:
175
Formulary ID:
00021000
Formulary Version:
14
Contract Year:
2021
RXCUI:
1874559
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
176
Formulary ID:
00021000
Formulary Version:
14
Contract Year:
2021
RXCUI:
1874553
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
177
Formulary ID:
00021000
Formulary Version:
14
Contract Year:
2021
RXCUI:
900575
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
178
Formulary ID:
00021000
Formulary Version:
14
Contract Year:
2021
RXCUI:
977427
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
179
Formulary ID:
00021000
Formulary Version:
14
Contract Year:
2021
RXCUI:
977434
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
180
Formulary ID:
00021000
Formulary Version:
14
Contract Year:
2021
RXCUI:
977438
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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