Displaying 156071-156080 of 1611142 results.
ID:
156071
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
836368
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
25
Qty Limit Days:
30
ID:
156072
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
1552004
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
4
Qty Limit Days:
30
ID:
156073
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
1430453
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
156074
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
1430457
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
156075
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
1430449
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
156076
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
1592748
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
156077
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
1592752
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
156078
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
1651275
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
4
Qty Limit Days:
30
ID:
156079
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
1667882
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
4
Qty Limit Days:
30
ID:
156080
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
1546083
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
4
Qty Limit Days:
30
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