Displaying 156211-156220 of 1611142 results.
ID:
156211
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
2102717
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
156212
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
2102713
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
156213
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
2102715
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
156214
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
1314768
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
224
Qty Limit Days:
28
ID:
156215
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
348506
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
156216
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
1719862
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
156217
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
1719803
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
156218
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
866103
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
156219
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
672567
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
156220
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
672569
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
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