Displaying 157581-157590 of 1611142 results.
ID:
157581
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
1243330
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
157582
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
1243229
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
157583
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
404587
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
157584
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
616148
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
157585
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
639888
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
157586
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
1744003
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
157587
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
1744007
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
157588
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
1744011
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
157589
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
901614
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
84
Qty Limit Days:
28
ID:
157590
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
1147337
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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