Displaying 156321-156330 of 1611142 results.
ID:
156321
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
1537209
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
156322
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
1487086
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
156323
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
1539953
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
156324
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
1539955
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
156325
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
1605086
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
156326
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
904419
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
156327
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
866436
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
156328
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
855633
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
1000
Qty Limit Days:
28
ID:
156329
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
1607784
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
156330
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
199245
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
240
Qty Limit Days:
30
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