Displaying 155341-155350 of 1611142 results.
ID:
155341
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
2362244
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
155342
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
1656351
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
155343
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
1873991
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
155344
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
1873993
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
155345
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
1873995
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
155346
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
1923054
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
155347
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
1801840
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
155348
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
1923056
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
155349
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
1923058
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
155350
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
2002719
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
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