Displaying 157931-157940 of 1611142 results.
ID:
157931
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
860707
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
157932
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
309058
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
157933
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
419849
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
157934
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
1800499
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
157935
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
992150
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
157936
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
724863
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
157937
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
724859
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
157938
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
724861
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
157939
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
403818
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
157940
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
730869
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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