Displaying 155711-155720 of 1611142 results.
ID:
155711
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
800438
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
155712
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
800444
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
155713
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
866924
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
155714
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
197465
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
155715
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
197466
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
360
Qty Limit Days:
30
ID:
155716
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
197505
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
155717
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
198286
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
155718
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
1298857
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
155719
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
197464
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
180
Qty Limit Days:
30
ID:
155720
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
197436
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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