Displaying 156221-156230 of 1611142 results.
ID:
156221
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
672571
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
156222
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
993541
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
156223
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
993557
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
156224
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
996097
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
156225
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
996615
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
156226
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
996594
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
156227
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
996603
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
156228
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
996609
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
156229
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
966920
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
156230
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
801054
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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