Displaying 158761-158770 of 1611142 results.
ID:
158761
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
2102470
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
158762
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
2105856
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
158763
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
2102472
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
158764
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
2168548
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
158765
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
2058932
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
158766
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
1148506
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
158767
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
1148502
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
158768
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
2168540
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
158769
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
1313887
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
158770
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
855673
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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