Displaying 155251-155260 of 1611142 results.
ID:
155251
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
1541928
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
155252
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
616292
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
155253
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
1357547
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
155254
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
2048568
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
155255
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
2478437
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
300
Qty Limit Days:
30
ID:
155256
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
2099956
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
155257
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
2058926
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
155258
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
2047602
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
155259
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
2047608
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
155260
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
2047614
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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