Displaying 158741-158750 of 1611142 results.
ID:
158741
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
616287
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
158742
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
1541928
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
158743
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
702296
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
158744
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
616292
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
158745
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
1357547
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
158746
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
2048568
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
158747
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
2102440
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
158748
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
2478437
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
300
Qty Limit Days:
30
ID:
158749
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
2102456
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
158750
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
2099956
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
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