Displaying 156761-156770 of 1611142 results.
ID:
156761
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
2200174
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
156762
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
2200177
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
156763
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
2200180
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
156764
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
2200183
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
156765
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
1648755
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
156766
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
725021
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
156767
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
725023
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
156768
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
311994
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
156769
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
311995
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
156770
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
1648759
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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