Displaying 158431-158440 of 1611142 results.
ID:
158431
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
2382990
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
158432
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
2178407
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
158433
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
2178409
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
158434
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
2382991
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
158435
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
2382993
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
158436
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
2272630
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
10
Qty Limit Days:
30
ID:
158437
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
2272622
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
10
Qty Limit Days:
30
ID:
158438
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
2272636
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
10
Qty Limit Days:
30
ID:
158439
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
2272624
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
10
Qty Limit Days:
30
ID:
158440
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
966153
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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