Displaying 157941-157950 of 1611142 results.
ID:
157941
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
897021
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
157942
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
2052064
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
157943
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
861375
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
157944
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
861370
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
157945
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
1373745
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
157946
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
1922783
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
157947
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
485442
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
157948
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
485465
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
157949
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
1442143
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
157950
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
1729053
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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