Displaying 156781-156790 of 1611142 results.
ID:
156781
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
351209
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
156782
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
310362
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
156783
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
197623
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
156784
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
1435115
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
2
Qty Limit Days:
28
ID:
156785
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
1190919
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
156786
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
1244205
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
156787
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
830470
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
156788
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
1300310
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
156789
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
1300206
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
156790
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
1300191
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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