Displaying 157771-157780 of 1611142 results.
ID:
157771
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
1373498
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
180
ID:
157772
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
1649593
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
1
Qty Limit Days:
28
ID:
157773
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
1546189
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
1
Qty Limit Days:
28
ID:
157774
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
1040058
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
157775
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
858804
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
157776
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
1790892
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
157777
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
1790886
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
157778
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
1790890
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
157779
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
2384465
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
5
Qty Limit Days:
28
ID:
157780
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
1670324
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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