Displaying 155441-155450 of 1611142 results.
ID:
155441
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
2110455
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
155442
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
904870
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
4
Qty Limit Days:
28
ID:
155443
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
904876
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
4
Qty Limit Days:
28
ID:
155444
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
1314763
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
224
Qty Limit Days:
28
ID:
155445
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
309047
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
155446
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
312594
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
155447
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
198141
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
155448
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
834046
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
155449
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
834040
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
155450
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
197536
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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