Displaying 158241-158250 of 1611142 results.
ID:
158241
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
1041518
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
158242
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
751553
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
158243
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
1251336
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
158244
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
749157
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
158245
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
748798
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
158246
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
1053697
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
28
ID:
158247
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
197849
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
158248
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
308725
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
158249
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
855657
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
158250
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
1812011
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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