Displaying 156901-156910 of 1611142 results.
ID:
156901
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
1657212
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
8
Qty Limit Days:
28
ID:
156902
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
1147228
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
240
Qty Limit Days:
30
ID:
156903
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
2197873
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
150
Qty Limit Days:
30
ID:
156904
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
2197877
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
156905
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
205532
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
156906
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
1592285
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
270
Qty Limit Days:
30
ID:
156907
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
1868016
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
270
Qty Limit Days:
30
ID:
156908
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
1868020
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
156909
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
1727485
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
240
Qty Limit Days:
30
ID:
156910
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
1441530
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
3
Qty Limit Days:
28
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