Displaying 158121-158130 of 1611142 results.
ID:
158121
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
1427300
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
158122
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
748800
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
158123
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
1599949
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
180
Qty Limit Days:
30
ID:
158124
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
848180
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
158125
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
2123072
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
17
Qty Limit Days:
30
ID:
158126
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
314076
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
158127
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
314077
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
158128
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
205326
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
158129
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
646456
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
158130
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
310154
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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