Displaying 157281-157290 of 1611142 results.
ID:
157281
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
1654079
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
0
Qty Limit Days:
28
ID:
157282
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
853354
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
0
Qty Limit Days:
28
ID:
157283
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
853356
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
1
Qty Limit Days:
28
ID:
157284
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
1100075
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
157285
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
1918044
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
157286
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
2000019
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
157287
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
1994362
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
157288
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
1442992
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
157289
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
2000023
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
157290
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
2000027
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
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