Displaying 158141-158150 of 1611142 results.
ID:
158141
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
197754
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
158142
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
686924
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
158143
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
200032
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
158144
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
979092
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
158145
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
1738483
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
158146
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
1738495
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
158147
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
1738503
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
158148
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
1099596
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
158149
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
197412
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
158150
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
312828
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
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