Displaying 156691-156700 of 1611142 results.
ID:
156691
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
863538
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
156692
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
1665507
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
156693
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
1608276
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
156694
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
1608274
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
156695
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
1191299
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
156696
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
240209
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
156697
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
1797883
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
156698
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
318202
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
156699
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
238600
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
156700
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
141859
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
5
Qty Limit Days:
30
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