Displaying 157151-157160 of 1611142 results.
ID:
157151
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
198224
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
157152
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
318179
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
157153
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
283535
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
157154
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
858778
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
50
Qty Limit Days:
30
ID:
157155
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
198222
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
157156
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
198150
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
157157
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
96304
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
157158
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
998689
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
157159
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
998685
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
157160
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
206791
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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