Displaying 158541-158550 of 1611142 results.
ID:
158541
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
1799230
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
158542
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
1925255
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
158543
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
1925257
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
158544
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
1598989
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
180
Qty Limit Days:
30
ID:
158545
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
1601660
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
158546
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
1992428
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
74
Qty Limit Days:
30
ID:
158547
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
213282
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
158548
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
213283
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
158549
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
213284
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
158550
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
859865
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
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