Displaying 155191-155200 of 1611142 results.
ID:
155191
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
309843
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
1200
Qty Limit Days:
30
ID:
155192
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
1190568
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
155193
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
1797907
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
16
Qty Limit Days:
30
ID:
155194
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
197730
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
155195
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
197731
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
155196
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
756059
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
155197
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
311376
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
150
Qty Limit Days:
30
ID:
155198
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
864761
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
1200
Qty Limit Days:
30
ID:
155199
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
864769
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
600
Qty Limit Days:
30
ID:
155200
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
205301
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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