Displaying 158461-158470 of 1611142 results.
ID:
158461
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
2472789
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
158462
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
2478450
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
158463
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
2369403
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
158464
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
1247381
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
158465
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
905059
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
158466
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
905064
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
158467
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
905057
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
158468
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
198050
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
158469
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
198049
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
158470
Formulary ID:
00021063
Formulary Version:
13
Contract Year:
2021
RXCUI:
1251334
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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