Displaying 155911-155920 of 1611142 results.
ID:
155911
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
1433241
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
155912
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
1606490
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
155913
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
859983
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
155914
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
859979
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
155915
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
1307309
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
155916
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
1608333
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
155917
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
2052609
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
155918
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
2052704
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
155919
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
2105817
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
155920
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
1300797
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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