Displaying 155641-155650 of 1611142 results.
ID:
155641
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
245220
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
155642
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
800928
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
155643
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
800812
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
155644
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
1189640
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
155645
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
800933
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
155646
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
207273
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
155647
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
2001321
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
155648
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
1091843
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
155649
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
402091
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
155650
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
1986819
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
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