Displaying 155081-155090 of 1611142 results.
ID:
155081
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
1799230
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
4
Qty Limit Days:
28
ID:
155082
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
1925255
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
1
Qty Limit Days:
28
ID:
155083
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
1925257
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
2
Qty Limit Days:
28
ID:
155084
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
1598989
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
155085
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
1601660
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
155086
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
1992428
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
155087
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
213282
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
155088
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
213283
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
155089
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
213284
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
155090
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
859865
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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