Displaying 155771-155780 of 1611142 results.
ID:
155771
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
618557
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
155772
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
311984
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
155773
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
311985
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
155774
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
360344
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
155775
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
349477
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
155776
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
606726
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
155777
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
606730
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
155778
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
198324
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
155779
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
198325
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
155780
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
198323
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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