Displaying 156941-156950 of 1611142 results.
ID:
156941
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
615979
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
156942
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
211140
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
156943
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
1373469
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
156944
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
1373473
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
156945
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
706831
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
156946
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
706827
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
156947
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
706829
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
156948
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
706825
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
156949
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
1545166
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
156950
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
1545163
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
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