Displaying 157591-157600 of 1611142 results.
ID:
157591
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
1306298
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
157592
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
1544471
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
157593
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
1544475
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
157594
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
1591949
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
28
Qty Limit Days:
28
ID:
157595
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
2204104
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
56
Qty Limit Days:
28
ID:
157596
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
2204102
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
28
Qty Limit Days:
28
ID:
157597
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
1721619
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
157598
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
1747697
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
157599
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
1741739
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
157600
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
1799218
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
28
Qty Limit Days:
28
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