Displaying 155041-155050 of 1611142 results.
ID:
155041
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
1745108
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
1
Qty Limit Days:
28
ID:
155042
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
2395779
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
2
Qty Limit Days:
28
ID:
155043
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
2370174
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
155044
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
2395785
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
2
Qty Limit Days:
28
ID:
155045
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
2370170
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
180
Qty Limit Days:
30
ID:
155046
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
1946836
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
155047
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
1946840
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
155048
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
1946844
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
155049
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
1946848
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
155050
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
865098
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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