Displaying 155481-155490 of 1611142 results.
ID:
155481
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
476556
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
155482
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
197535
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
155483
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
310295
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
155484
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
310297
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
155485
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
313992
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
155486
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
313993
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
155487
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
310293
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
155488
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
310294
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
155489
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
1299903
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
155490
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
2000695
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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