Displaying 155431-155440 of 1611142 results.
ID:
155431
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
636664
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
155432
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
608328
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
155433
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
1148141
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
155434
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
861960
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
155435
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
905032
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
155436
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
1090996
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
155437
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
197595
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
155438
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
197596
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
155439
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
884707
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
155440
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
753543
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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