Displaying 158561-158570 of 1611142 results.
ID:
158561
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
2055766
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
158562
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
1924315
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
158563
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
1486841
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
158564
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
798300
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
2
Qty Limit Days:
1
ID:
158565
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
830253
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
0
Qty Limit Days:
1
ID:
158566
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
830245
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
1
Qty Limit Days:
1
ID:
158567
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
836636
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
1
Qty Limit Days:
999
ID:
158568
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
836634
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
2
Qty Limit Days:
999
ID:
158569
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
1597099
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
0
Qty Limit Days:
1
ID:
158570
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
1597103
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
0
Qty Limit Days:
1
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