Displaying 155371-155380 of 1611142 results.
ID:
155371
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
285018
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
155372
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
855178
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
155373
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
866094
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
155374
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
866083
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
155375
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
211817
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
155376
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
1801283
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
155377
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
978006
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
155378
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
833217
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
155379
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
831103
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
155380
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
831102
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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