Displaying 156161-156170 of 1611142 results.
ID:
156161
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
142046
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
156162
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
238004
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
4
Qty Limit Days:
28
ID:
156163
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
313921
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
156164
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
238003
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
4
Qty Limit Days:
28
ID:
156165
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
403923
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
4
Qty Limit Days:
28
ID:
156166
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
241946
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
8
Qty Limit Days:
28
ID:
156167
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
388525
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
400
Qty Limit Days:
30
ID:
156168
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
360507
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
156169
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
198322
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
156170
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
308962
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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