Displaying 158311-158320 of 1611142 results.
ID:
158311
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
753451
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
158312
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
751139
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
158313
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
728113
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
158314
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
483442
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
158315
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
483448
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
158316
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
483446
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
158317
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
312515
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
158318
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
310155
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
158319
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
315090
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
158320
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
310157
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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