Displaying 158631-158640 of 1611142 results.
ID:
158631
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
905164
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
158632
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
688242
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
158633
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
205739
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
158634
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
208513
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
158635
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
404550
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
158636
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
150840
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
158637
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
208949
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
158638
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
202301
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
158639
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
1000491
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
158640
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
1000497
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
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