Displaying 156041-156050 of 1611142 results.
ID:
156041
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
312025
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
156042
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
198041
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
156043
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
582926
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
156044
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
1597123
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
300
Qty Limit Days:
30
ID:
156045
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
1597129
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
300
Qty Limit Days:
30
ID:
156046
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
828299
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
156047
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
1745091
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
156048
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
1801289
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
156049
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
857564
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
156050
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
311892
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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