Displaying 157971-157980 of 1611142 results.
ID:
157971
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
200131
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
157972
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
861237
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
157973
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
861221
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
157974
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
861223
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
157975
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
861225
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
157976
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
861227
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
157977
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
861232
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
157978
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
1367436
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
157979
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
647237
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
157980
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
647239
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
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