Displaying 155821-155830 of 1611142 results.
ID:
155821
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
728550
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
100
Qty Limit Days:
28
ID:
155822
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
199689
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
155823
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
603208
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
155824
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
603203
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
155825
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
603206
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
155826
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
748961
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
155827
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
751901
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
155828
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
810096
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
155829
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
749761
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
155830
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
748868
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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