Displaying 157751-157760 of 1611142 results.
ID:
157751
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
2371058
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
157752
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
2371062
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
157753
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
2371066
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
157754
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
1482513
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
157755
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
1482517
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
157756
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
1482523
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
157757
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
1482527
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
157758
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
1235249
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
157759
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
1040036
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
157760
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
1431237
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
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