Displaying 155261-155270 of 1611142 results.
ID:
155261
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
2047596
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
155262
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
2047623
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
155263
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
2463737
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
155264
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
2463733
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
155265
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
2105856
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
155266
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
2168548
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
155267
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
2058932
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
155268
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
1148506
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
155269
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
1148502
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
155270
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
2168540
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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