Displaying 158221-158230 of 1611142 results.
ID:
158221
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
859040
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
158222
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
859052
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
158223
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
855642
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
100
Qty Limit Days:
28
ID:
158224
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
312504
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
158225
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
313291
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
158226
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
1245919
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
158227
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
1242786
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
158228
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
200329
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
158229
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
864681
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
158230
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
864675
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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