Displaying 155801-155810 of 1611142 results.
ID:
155801
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
198296
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
155802
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
1000097
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
155803
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
966787
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
155804
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
966793
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
155805
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
830865
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
155806
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
830869
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
155807
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
830872
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
155808
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
208327
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
155809
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
260350
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
155810
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
260351
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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