Displaying 155741-155750 of 1611142 results.
ID:
155741
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
198275
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
155742
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
198270
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
155743
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
198285
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
155744
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
856422
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
155745
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
199903
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
155746
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
998671
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
4
Qty Limit Days:
28
ID:
155747
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
998675
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
4
Qty Limit Days:
28
ID:
155748
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
998679
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
4
Qty Limit Days:
28
ID:
155749
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
1000048
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
155750
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
876524
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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