Displaying 158531-158540 of 1611142 results.
ID:
158531
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
643177
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
158532
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
643173
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
158533
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
643175
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
158534
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
799830
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
158535
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
1045408
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
158536
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
1045404
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
158537
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
1364441
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
158538
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
1364447
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
158539
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
607579
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
158540
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
1145932
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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