Displaying 155651-155660 of 1611142 results.
ID:
155651
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
1942485
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
155652
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
1942489
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
155653
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
2047639
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
155654
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
2053927
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
155655
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
1721571
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
155656
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
1721583
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
155657
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
1989109
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
1
Qty Limit Days:
28
ID:
155658
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
2205634
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
1
Qty Limit Days:
28
ID:
155659
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
2387331
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
10
Qty Limit Days:
30
ID:
155660
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
858044
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
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