Displaying 157181-157190 of 1611142 results.
ID:
157181
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
313778
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
157182
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
313995
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
4
Qty Limit Days:
28
ID:
157183
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
314214
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
157184
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
312835
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
157185
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
314215
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
157186
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
312836
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
157187
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
311277
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
157188
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
1099563
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
157189
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
904932
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
1
Qty Limit Days:
30
ID:
157190
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
313758
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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