Displaying 157461-157470 of 1611142 results.
ID:
157461
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
903891
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
157462
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
903884
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
157463
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
242446
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
157464
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
857700
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
300
Qty Limit Days:
28
ID:
157465
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
213291
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
157466
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
1111339
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
157467
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
860805
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
157468
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
308739
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
157469
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
1111343
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
157470
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
284008
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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