Displaying 158611-158620 of 1611142 results.
ID:
158611
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
1995479
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
158612
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
1595457
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
158613
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
153579
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
158614
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
153580
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
158615
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
402092
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
158616
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
861637
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
158617
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
861206
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
158618
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
904170
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
158619
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
854859
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
158620
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
1859000
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
18
Qty Limit Days:
30
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