Displaying 157801-157810 of 1611142 results.
ID:
157801
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
2399898
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
8
Qty Limit Days:
28
ID:
157802
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
2399901
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
8
Qty Limit Days:
28
ID:
157803
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
198013
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
157804
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
198012
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
157805
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
1797113
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
157806
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
2399904
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
8
Qty Limit Days:
28
ID:
157807
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
1098141
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
157808
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
1098134
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
157809
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
577033
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
157810
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
995624
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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