Displaying 155351-155360 of 1611142 results.
ID:
155351
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
2058981
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
155352
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
1298099
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
155353
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
545293
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
155354
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
207029
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
155355
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
665022
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
155356
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
746804
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
2
Qty Limit Days:
30
ID:
155357
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
746815
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
1
Qty Limit Days:
30
ID:
155358
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
746813
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
1
Qty Limit Days:
30
ID:
155359
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
790284
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
1
Qty Limit Days:
30
ID:
155360
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
2196792
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
13
Qty Limit Days:
30
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