Displaying 157251-157260 of 1611142 results.
ID:
157251
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
861132
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
157252
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
310352
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
157253
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
310353
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
157254
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
200257
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
960
Qty Limit Days:
30
ID:
157255
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
200256
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
480
Qty Limit Days:
30
ID:
157256
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
200258
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
240
Qty Limit Days:
30
ID:
157257
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
313582
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
157258
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
313584
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
157259
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
314277
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
157260
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
313586
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
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