Displaying 157041-157050 of 1611142 results.
ID:
157041
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
1246096
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
28
ID:
157042
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
313200
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
157043
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
103456
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
157044
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
310891
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
157045
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
308979
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
157046
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
197686
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
157047
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
197303
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
157048
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
197304
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
157049
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
197853
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
157050
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
858813
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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