Displaying 158721-158730 of 1611142 results.
ID:
158721
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
1243014
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
158722
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
1601394
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
158723
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
1601386
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
158724
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
1601390
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
158725
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
1987734
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
158726
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
2058922
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
158727
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
2103175
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
158728
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
2103179
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
158729
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
2284108
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
158730
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
2099952
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
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