Displaying 157711-157720 of 1611142 results.
ID:
157711
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
1364358
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
157712
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
2473042
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
157713
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
2049271
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
157714
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
2049278
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
157715
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
483427
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
157716
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
483425
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
157717
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
309140
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
157718
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
197518
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
157719
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
284215
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
157720
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
1658221
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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