Displaying 157011-157020 of 1611142 results.
ID:
157011
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
2166401
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
56
Qty Limit Days:
28
ID:
157012
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
1999389
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
56
Qty Limit Days:
28
ID:
157013
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
1812470
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
112
Qty Limit Days:
28
ID:
157014
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
1655934
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
112
Qty Limit Days:
28
ID:
157015
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
2053512
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
56
Qty Limit Days:
28
ID:
157016
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
904447
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
1286
Qty Limit Days:
30
ID:
157017
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
904158
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
157018
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
861495
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
28
ID:
157019
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
861448
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
28
ID:
157020
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
309370
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
28
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