Displaying 155231-155240 of 1611142 results.
ID:
155231
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
2103175
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
155232
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
2103179
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
155233
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
2284108
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
21
Qty Limit Days:
28
ID:
155234
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
2057205
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
155235
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
2057216
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
155236
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
2057212
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
155237
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
2057219
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
155238
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
2099952
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
155239
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
2105860
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
155240
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
2469340
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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