Displaying 157341-157350 of 1611142 results.
ID:
157341
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
616116
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
28
Qty Limit Days:
28
ID:
157342
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
616114
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
28
Qty Limit Days:
28
ID:
157343
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
643714
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
28
Qty Limit Days:
28
ID:
157344
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
1429367
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
28
Qty Limit Days:
28
ID:
157345
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
643722
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
28
Qty Limit Days:
28
ID:
157346
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
1369724
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
157347
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
1369728
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
157348
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
1369732
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
157349
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
1369736
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
157350
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
1940376
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
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