Displaying 156711-156720 of 1611142 results.
ID:
156711
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
1085686
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
156712
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
238151
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
156713
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
1797895
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
156714
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
151030
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
156715
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
977990
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
156716
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
977978
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
156717
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
309289
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
28
ID:
156718
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
309291
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
156719
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
1235049
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
156720
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
705129
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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