Displaying 155901-155910 of 1611142 results.
ID:
155901
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
1086786
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
155902
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
1805427
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
155903
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
1602588
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
155904
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
1805422
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
155905
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
1602594
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
155906
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
1858971
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
155907
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
1433250
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
28
Qty Limit Days:
28
ID:
155908
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
1433223
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
155909
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
1433229
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
155910
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
1433235
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
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