Displaying 158661-158670 of 1611142 results.
ID:
158661
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
997296
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
180
Qty Limit Days:
30
ID:
158662
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
310792
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
158663
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
310793
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
158664
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
835589
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
158665
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
477234
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
158666
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
199519
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
158667
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
197624
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
158668
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
1437968
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
158669
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
1437969
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
158670
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
897657
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
1500
Qty Limit Days:
30
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