Displaying 156401-156410 of 1611142 results.
ID:
156401
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
197941
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
156402
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
861007
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
150
Qty Limit Days:
30
ID:
156403
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
861010
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
156404
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
861004
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
75
Qty Limit Days:
30
ID:
156405
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
861731
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
240
Qty Limit Days:
30
ID:
156406
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
562524
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
156407
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
1652673
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
156408
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
1649429
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
156409
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
1650142
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
156410
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
353538
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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