Displaying 157131-157140 of 1611142 results.
ID:
157131
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
1091638
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
157132
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
1091623
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
157133
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
1543069
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
36
Qty Limit Days:
30
ID:
157134
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
1010878
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
157135
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
1085741
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
157136
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
1191302
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
157137
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
1370763
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
118
Qty Limit Days:
30
ID:
157138
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
1190357
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
157139
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
2180999
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
157140
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
1716268
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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