Displaying 156621-156630 of 1611142 results.
ID:
156621
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
197702
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
156622
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
1049615
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
180
Qty Limit Days:
30
ID:
156623
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
1736047
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
156624
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
1736050
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
156625
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
1736053
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
156626
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
1736044
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
156627
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
1300272
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
100
Qty Limit Days:
28
ID:
156628
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
1541099
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
236
Qty Limit Days:
28
ID:
156629
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
2180345
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
100
Qty Limit Days:
28
ID:
156630
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
312845
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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