Displaying 156031-156040 of 1611142 results.
ID:
156031
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
250344
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
28
ID:
156032
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
1596781
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
156033
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
722122
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
156034
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
722116
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
156035
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
198250
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
156036
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
863559
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
156037
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
897612
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
156038
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
897618
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
156039
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
897624
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
156040
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
897630
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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