Displaying 155171-155180 of 1611142 results.
ID:
155171
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
310793
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
155172
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
835589
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
155173
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
477234
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
155174
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
199519
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
155175
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
197624
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
155176
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
1437968
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
155177
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
1437969
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
155178
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
897657
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
2400
Qty Limit Days:
30
ID:
155179
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
1049604
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
1200
Qty Limit Days:
30
ID:
155180
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
1874559
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
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