Displaying 158571-158580 of 1611142 results.
ID:
158571
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
1292443
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
1
Qty Limit Days:
1
ID:
158572
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
804186
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
1
Qty Limit Days:
1
ID:
158573
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
1292459
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
1
Qty Limit Days:
1
ID:
158574
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
1658106
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
1
Qty Limit Days:
999
ID:
158575
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
1658102
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
2
Qty Limit Days:
999
ID:
158576
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
798451
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
0
Qty Limit Days:
1
ID:
158577
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
830263
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
1
Qty Limit Days:
1
ID:
158578
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
1658150
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
1
Qty Limit Days:
1
ID:
158579
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
2055815
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
158580
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
1441740
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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