Displaying 156671-156680 of 1611142 results.
ID:
156671
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
252479
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
156672
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
248642
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
156673
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
1010600
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
360
Qty Limit Days:
30
ID:
156674
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
1307056
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
156675
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
1010604
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
156676
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
198182
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
156677
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
351223
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
156678
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
198070
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
156679
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
401938
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
156680
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
758032
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
6
Qty Limit Days:
28
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