Displaying 155391-155400 of 1611142 results.
ID:
155391
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
198046
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
155392
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
198047
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
155393
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
312059
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
155394
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
866018
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
155395
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
603103
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
155396
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
106346
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
44
Qty Limit Days:
30
ID:
155397
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
1098649
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
155398
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
1098670
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
155399
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
1098674
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
155400
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
1923422
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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