Displaying 155671-155680 of 1611142 results.
ID:
155671
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
1593775
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
155672
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
847917
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
1
Qty Limit Days:
30
ID:
155673
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
847913
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
2
Qty Limit Days:
30
ID:
155674
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
1990869
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
4
Qty Limit Days:
28
ID:
155675
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
206347
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
155676
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
1729511
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
155677
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
1085773
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
155678
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
1648999
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
155679
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
486515
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
155680
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
730782
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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