Displaying 155731-155740 of 1611142 results.
ID:
155731
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
197506
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
155732
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
856429
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
155733
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
310670
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
155734
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
1373483
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
14
Qty Limit Days:
30
ID:
155735
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
1373491
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
155736
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
866491
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
155737
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
197508
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
155738
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
197318
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
155739
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
313354
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
155740
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
198274
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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