Displaying 155861-155870 of 1611142 results.
ID:
155861
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
1091225
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
155862
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
897696
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
180
Qty Limit Days:
30
ID:
155863
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
897702
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
180
Qty Limit Days:
30
ID:
155864
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
897710
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
180
Qty Limit Days:
30
ID:
155865
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
864706
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
155866
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
1049611
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
180
Qty Limit Days:
30
ID:
155867
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
1049618
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
180
Qty Limit Days:
30
ID:
155868
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
245136
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
10
Qty Limit Days:
30
ID:
155869
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
245134
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
10
Qty Limit Days:
30
ID:
155870
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
245135
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
10
Qty Limit Days:
30
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