Displaying 158251-158260 of 1611142 results.
ID:
158251
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
1812013
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
158252
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
562806
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
100
Qty Limit Days:
30
ID:
158253
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
825130
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
158254
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
260260
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
158255
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
311382
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
158256
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
1366550
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
158257
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
861668
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
8
Qty Limit Days:
28
ID:
158258
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
830795
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
158259
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
831359
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
158260
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
801957
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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