Displaying 156951-156960 of 1611142 results.
ID:
156951
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
1545159
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
156952
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
1545156
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
156953
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
858074
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
156954
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
858051
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
156955
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
858057
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
156956
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
858055
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
156957
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
858053
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
156958
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
2059017
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
156959
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
1232084
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
156960
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
1232088
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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