Displaying 158451-158460 of 1611142 results.
ID:
158451
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
1665906
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
3
Qty Limit Days:
28
ID:
158452
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
1665900
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
3
Qty Limit Days:
28
ID:
158453
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
1801322
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
3
Qty Limit Days:
28
ID:
158454
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
2262446
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
158455
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
2123034
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
158456
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
2274390
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
158457
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
1659183
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
2
Qty Limit Days:
28
ID:
158458
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
1659161
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
2
Qty Limit Days:
28
ID:
158459
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
2467571
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
158460
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
2467575
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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