Displaying 155381-155390 of 1611142 results.
ID:
155381
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
831054
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
155382
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
197724
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
155383
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
197381
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
155384
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
197379
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
155385
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
197603
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
155386
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
198107
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
155387
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
904458
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
155388
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
197380
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
155389
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
198045
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
155390
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
317136
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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