Displaying 156771-156780 of 1611142 results.
ID:
156771
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
903847
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
156772
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
1307061
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
156773
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
1115698
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
156774
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
1308569
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
156775
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
1860491
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
156776
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
1860493
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
156777
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
1860495
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
156778
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
1860497
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
156779
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
1860499
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
156780
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
1860501
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
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