Displaying 158731-158740 of 1611142 results.
ID:
158731
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
2105860
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
158732
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
637188
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
158733
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
795735
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
158734
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
637190
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
158735
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
795737
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
158736
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
2284104
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
158737
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
1741049
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
158738
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
2273115
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
158739
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
616283
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
158740
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
2284106
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
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