Displaying 158581-158590 of 1611142 results.
ID:
158581
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
835721
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
158582
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
1046920
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
158583
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
404457
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
158584
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
404458
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
158585
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
404459
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
158586
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
1549456
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
158587
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
1549454
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
158588
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
205562
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
158589
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
848330
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
158590
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
763489
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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