Displaying 155331-155340 of 1611142 results.
ID:
155331
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
825429
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
155332
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
884619
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
155333
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
2121061
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
155334
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
1656356
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
155335
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
1859501
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
155336
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
1919094
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
155337
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
2169314
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
155338
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
2169322
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
155339
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
2362240
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
155340
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
2169320
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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