Displaying 158651-158660 of 1611142 results.
ID:
158651
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
885857
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
158652
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
351265
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
158653
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
351266
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
158654
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
351267
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
158655
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
905172
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
158656
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
905168
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
158657
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
892589
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
3000
Qty Limit Days:
30
ID:
158658
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
894780
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
1500
Qty Limit Days:
30
ID:
158659
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
997170
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
180
Qty Limit Days:
30
ID:
158660
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
997287
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
180
Qty Limit Days:
30
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