Displaying 157231-157240 of 1611142 results.
ID:
157231
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
1605455
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
55
Qty Limit Days:
28
ID:
157232
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
993456
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
1
Qty Limit Days:
180
ID:
157233
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
1046402
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
157234
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
1649491
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
157235
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
1649495
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
157236
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
2168596
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
157237
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
858125
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
157238
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
858127
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
157239
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
197699
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
157240
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
197700
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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