Displaying 155891-155900 of 1611142 results.
ID:
155891
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
309090
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
155892
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
309092
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
155893
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
1665005
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
155894
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
311683
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
155895
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
727575
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
155896
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
1040012
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
155897
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
1040016
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
155898
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
1653470
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
155899
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
1086776
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
155900
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
1086780
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
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