Displaying 156751-156760 of 1611142 results.
ID:
156751
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
105292
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
156752
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
199592
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
156753
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
483090
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
156754
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
476399
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
156755
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
476515
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
156756
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
805464
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
240
Qty Limit Days:
30
ID:
156757
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
1659927
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
156758
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
2046585
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
156759
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
403878
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
180
Qty Limit Days:
30
ID:
156760
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
1098143
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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