Displaying 158551-158560 of 1611142 results.
ID:
158551
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
404460
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
158552
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
1593140
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
0
Qty Limit Days:
1
ID:
158553
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
1547575
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
158554
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
1547110
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
158555
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
744846
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
158556
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
1547114
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
158557
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
1547118
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
158558
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
1235595
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
180
Qty Limit Days:
30
ID:
158559
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
1235591
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
180
Qty Limit Days:
30
ID:
158560
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
668606
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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