Displaying 155921-155930 of 1611142 results.
ID:
155921
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
1300803
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
155922
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
967388
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
155923
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
307730
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
155924
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
106302
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
155925
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
884308
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
28
ID:
155926
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
106387
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
155927
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
308714
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
45
Qty Limit Days:
28
ID:
155928
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
755497
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
155929
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
630208
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
155930
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
245314
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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