Displaying 157031-157040 of 1611142 results.
ID:
157031
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
857366
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
85
Qty Limit Days:
28
ID:
157032
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
313226
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
157033
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
308715
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
28
ID:
157034
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
848208
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
157035
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
848176
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
157036
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
848178
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
157037
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
861505
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
118
Qty Limit Days:
28
ID:
157038
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
312139
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
28
ID:
157039
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
896110
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
28
ID:
157040
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
1191310
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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