Displaying 157811-157820 of 1611142 results.
ID:
157811
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
2266506
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
157812
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
857336
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
157813
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
857321
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
157814
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
857328
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
157815
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
857340
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
157816
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
259081
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
157817
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
835603
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
240
Qty Limit Days:
30
ID:
157818
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
283536
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
157819
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
199387
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
157820
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
312085
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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