Displaying 158051-158060 of 1611142 results.
ID:
158051
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
828373
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
158052
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
310274
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
158053
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
313570
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
40
Qty Limit Days:
10
ID:
158054
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
313571
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
80
Qty Limit Days:
10
ID:
158055
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
309049
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
158056
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
309048
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
158057
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
105171
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
158058
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
995599
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
158059
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
995607
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
158060
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
307650
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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