Displaying 157611-157620 of 1611142 results.
ID:
157611
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
831300
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
157612
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
831325
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
157613
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
831349
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
157614
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
1801298
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
157615
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
1801294
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
157616
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
311192
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
157617
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
311197
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
157618
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
311196
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
157619
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
1738803
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
157620
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
1738805
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
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