Displaying 155101-155110 of 1611142 results.
ID:
155101
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
665036
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
155102
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
1235595
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
155103
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
1235591
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
155104
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
668606
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
155105
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
861821
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
155106
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
861771
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
155107
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
1729311
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
155108
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
2055766
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
155109
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
1988671
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
155110
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
1988675
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
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