Displaying 157411-157420 of 1611142 results.
ID:
157411
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
855194
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
157412
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
1607617
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
157413
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
311345
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
157414
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
198200
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
157415
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
349514
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
157416
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
351256
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
157417
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
351257
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
157418
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
1307427
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
224
Qty Limit Days:
30
ID:
157419
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
310261
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
157420
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
861416
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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