Displaying 155291-155300 of 1611142 results.
ID:
155291
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
835896
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
155292
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
835835
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
155293
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
1115468
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
155294
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
1926069
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
155295
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
1115259
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
155296
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
1115459
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
155297
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
1115464
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
155298
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
1115473
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
155299
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
1946522
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
155300
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
727705
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
4
Qty Limit Days:
28
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