Displaying 158791-158800 of 1611142 results.
ID:
158791
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
152971
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
480
Qty Limit Days:
30
ID:
158792
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
1873087
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
158793
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
1940709
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
84
Qty Limit Days:
28
ID:
158794
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
835896
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
158795
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
835835
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
158796
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
1115468
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
158797
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
1926069
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
360
Qty Limit Days:
30
ID:
158798
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
1115259
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
158799
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
1115459
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
158800
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
1115464
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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