Displaying 155841-155850 of 1611142 results.
ID:
155841
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
209789
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
155842
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
209788
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
155843
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
861657
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
155844
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
486148
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
155845
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
486152
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
155846
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
486146
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
155847
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
577057
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
10
Qty Limit Days:
30
ID:
155848
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
886634
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
10
Qty Limit Days:
28
ID:
155849
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
1437702
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
155850
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
211343
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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