Displaying 157721-157730 of 1611142 results.
ID:
157721
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
544840
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
157722
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
313165
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
8
Qty Limit Days:
28
ID:
157723
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
865129
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
157724
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
1807513
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
157725
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
312447
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
157726
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
313416
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
157727
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
597823
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
157728
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
1726214
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
157729
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
1721458
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
157730
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
1721460
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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