Displaying 158021-158030 of 1611142 results.
ID:
158021
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
205305
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
158022
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
409823
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
158023
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
849833
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
158024
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
892582
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
180
Qty Limit Days:
30
ID:
158025
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
892672
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
180
Qty Limit Days:
30
ID:
158026
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
1923822
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
158027
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
1923828
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
158028
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
1923826
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
158029
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
1490026
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
158030
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
1490034
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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