Displaying 158781-158790 of 1611142 results.
ID:
158781
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
1872980
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
158782
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
1747577
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
158783
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
1747579
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
158784
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
1747567
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
180
Qty Limit Days:
30
ID:
158785
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
1747580
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
158786
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
1921017
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
158787
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
1921010
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
158788
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
1488619
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
158789
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
1488617
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
158790
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
1921468
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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