Displaying 155161-155170 of 1611142 results.
ID:
155161
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
885857
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
155162
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
860901
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
155163
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
351265
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
155164
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
351266
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
360
Qty Limit Days:
30
ID:
155165
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
351267
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
155166
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
905172
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
155167
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
905168
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
155168
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
892589
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
900
Qty Limit Days:
30
ID:
155169
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
894780
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
900
Qty Limit Days:
30
ID:
155170
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
310792
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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