Displaying 155241-155250 of 1611142 results.
ID:
155241
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
637188
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
155242
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
795735
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
155243
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
637190
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
155244
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
795737
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
155245
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
2284104
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
21
Qty Limit Days:
28
ID:
155246
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
1741049
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
155247
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
2273115
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
155248
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
616283
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
155249
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
2284106
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
21
Qty Limit Days:
28
ID:
155250
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
616287
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
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