Displaying 155091-155100 of 1611142 results.
ID:
155091
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
352297
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
4
Qty Limit Days:
28
ID:
155092
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
731328
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
2
Qty Limit Days:
28
ID:
155093
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
404460
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
155094
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
1593140
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
155095
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
1243848
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
155096
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
1243843
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
155097
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
1243833
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
155098
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
665044
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
155099
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
665040
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
155100
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
744846
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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