Displaying 155831-155840 of 1611142 results.
ID:
155831
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
759743
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
155832
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
748806
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
155833
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
748804
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
155834
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
1373503
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
155835
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
310404
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
155836
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
310405
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
155837
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
1000091
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
45
Qty Limit Days:
30
ID:
155838
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
1000093
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
45
Qty Limit Days:
30
ID:
155839
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
359697
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
155840
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
310169
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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