Displaying 157621-157630 of 1611142 results.
ID:
157621
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
1738807
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
157622
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
897584
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
157623
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
897590
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
157624
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
897596
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
157625
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
317769
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
157626
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
314208
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
157627
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
312847
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
157628
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
205284
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
157629
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
205285
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
157630
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
643019
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
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