Displaying 155581-155590 of 1611142 results.
ID:
155581
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
898378
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
155582
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
898372
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
155583
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
198228
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
155584
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
852913
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
155585
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
993536
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
155586
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
852877
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
155587
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
197979
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
155588
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
197978
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
155589
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
1246306
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
10
Qty Limit Days:
30
ID:
155590
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
1246290
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
10
Qty Limit Days:
30
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