Displaying 155271-155280 of 1611142 results.
ID:
155271
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
207088
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
155272
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
855871
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
155273
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
1855527
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
2
Qty Limit Days:
180
ID:
155274
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
1921240
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
2
Qty Limit Days:
28
ID:
155275
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
1921245
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
3
Qty Limit Days:
180
ID:
155276
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
1726846
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
4
Qty Limit Days:
28
ID:
155277
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
847745
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
155278
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
1872980
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
4
Qty Limit Days:
28
ID:
155279
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
1747577
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
155280
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
1747579
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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