Displaying 158421-158430 of 1611142 results.
ID:
158421
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
2199304
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
158422
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
2199308
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
158423
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
2199312
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
158424
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
2199316
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
158425
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
483450
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
158426
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
483438
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
158427
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
483440
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
158428
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
483444
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
158429
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
2178403
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
158430
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
2178405
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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