Displaying 156201-156210 of 1611142 results.
ID:
156201
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
854241
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
22
Qty Limit Days:
28
ID:
156202
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
854248
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
28
Qty Limit Days:
28
ID:
156203
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
854245
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
22
Qty Limit Days:
28
ID:
156204
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
854252
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
28
Qty Limit Days:
28
ID:
156205
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
406503
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
156206
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
858262
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
156207
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
310023
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
156208
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
403890
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
156209
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
197549
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
156210
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
197550
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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