Displaying 155141-155150 of 1611142 results.
ID:
155141
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
1604544
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
155142
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
2002420
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
155143
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
1876406
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
8
Qty Limit Days:
28
ID:
155144
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
2375329
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
8
Qty Limit Days:
28
ID:
155145
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
2099302
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
4
Qty Limit Days:
28
ID:
155146
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
1797880
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
155147
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
1113046
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
155148
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
863836
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
155149
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
863841
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
155150
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
863829
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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