Displaying 157761-157770 of 1611142 results.
ID:
157761
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
1040043
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
157762
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
1297357
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
157763
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
1356693
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
157764
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
1926823
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
157765
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
1926827
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
157766
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
1812434
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
157767
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
866111
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
157768
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
198252
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
157769
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
1373489
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
14
Qty Limit Days:
30
ID:
157770
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
1373493
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
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