Displaying 158001-158010 of 1611142 results.
ID:
158001
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
308136
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
158002
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
197361
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
158003
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
310432
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
270
Qty Limit Days:
30
ID:
158004
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
311880
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
158005
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
317174
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
158006
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
312745
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
158007
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
616483
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
158008
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
312743
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
158009
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
637173
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
158010
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
312840
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
36
Qty Limit Days:
28
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