Displaying 155301-155310 of 1611142 results.
ID:
155301
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
1655728
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
4
Qty Limit Days:
28
ID:
155302
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
825170
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
6
Qty Limit Days:
180
ID:
155303
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
1801278
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
4
Qty Limit Days:
180
ID:
155304
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
847741
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
155305
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
835892
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
155306
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
212957
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
155307
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
2056897
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
155308
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
746609
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
112
Qty Limit Days:
28
ID:
155309
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
845512
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
155310
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
847734
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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