Displaying 155781-155790 of 1611142 results.
ID:
155781
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
855942
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
155782
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
618552
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
155783
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
313366
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
155784
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
1000070
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
155785
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
1536586
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
155786
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
242333
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
4
Qty Limit Days:
28
ID:
155787
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
241527
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
4
Qty Limit Days:
28
ID:
155788
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
403922
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
4
Qty Limit Days:
28
ID:
155789
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
402109
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
155790
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
834235
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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