Displaying 155311-155320 of 1611142 results.
ID:
155311
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
1002300
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
112
Qty Limit Days:
28
ID:
155312
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
1012899
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
155313
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
1310138
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
155314
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
1310144
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
155315
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
1310147
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
155316
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
1364114
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
155317
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
1364118
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
155318
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
1364122
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
155319
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
1603361
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
6
Qty Limit Days:
21
ID:
155320
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
1603365
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
6
Qty Limit Days:
21
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