Displaying 155491-155500 of 1611142 results.
ID:
155491
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
1299909
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
155492
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
197507
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
155493
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
359493
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
18
Qty Limit Days:
28
ID:
155494
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
359494
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
18
Qty Limit Days:
28
ID:
155495
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
1362706
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
155496
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
1362712
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
155497
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
1362720
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
155498
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
197975
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
155499
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
308865
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
155500
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
1303736
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
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