Displaying 157421-157430 of 1611142 results.
ID:
157421
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
308459
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
157422
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
141963
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
157423
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
309332
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
157424
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
197519
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
157425
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
1000126
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
157426
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
1000153
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
157427
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
198232
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
157428
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
311727
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
157429
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
317128
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
157430
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
309337
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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