Displaying 158171-158180 of 1611142 results.
ID:
158171
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
199376
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
158172
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
199381
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
158173
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
898490
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
158174
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
686429
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
158175
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
284201
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
18
Qty Limit Days:
28
ID:
158176
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
351134
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
18
Qty Limit Days:
28
ID:
158177
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
314142
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
180
Qty Limit Days:
30
ID:
158178
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
311919
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
158179
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
1988308
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
158180
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
1988311
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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