Displaying 155471-155480 of 1611142 results.
ID:
155471
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
351109
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
155472
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
1098666
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
155473
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
1098678
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
155474
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
904467
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
155475
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
904475
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
155476
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
1490065
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
155477
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
199058
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
155478
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
596843
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
155479
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
308868
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
155480
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
403879
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
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