Displaying 156611-156620 of 1611142 results.
ID:
156611
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
967012
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
156612
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
198332
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
156613
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
856987
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
390
Qty Limit Days:
30
ID:
156614
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
856992
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
390
Qty Limit Days:
30
ID:
156615
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
311989
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
156616
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
1091389
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
156617
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
1091322
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
156618
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
1091152
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
156619
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
608623
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
156620
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
608624
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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