Displaying 155521-155530 of 1611142 results.
ID:
155521
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
1099687
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
155522
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
312036
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
155523
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
856940
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
5550
Qty Limit Days:
30
ID:
155524
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
834137
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
155525
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
810002
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
155526
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
809990
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
155527
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
809994
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
155528
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
809998
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
155529
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
995156
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
155530
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
308963
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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