Displaying 155661-155670 of 1611142 results.
ID:
155661
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
858040
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
155662
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
1043567
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
155663
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
1043582
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
155664
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
1043574
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
155665
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
1486981
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
155666
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
1486977
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
155667
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
1940498
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
155668
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
1593831
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
155669
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
1593833
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
155670
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
1593835
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
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