Displaying 156851-156860 of 1611142 results.
ID:
156851
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
1251903
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
156852
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
721787
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
156853
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
860215
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
156854
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
860221
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
156855
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
198056
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
156856
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
351276
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
156857
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
349194
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
156858
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
349195
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
156859
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
349198
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
156860
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
403825
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
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