Displaying 158821-158830 of 1611142 results.
ID:
158821
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
212957
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
158822
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
2056897
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
158823
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
746609
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
158824
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
845512
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
158825
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
847734
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
158826
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
1002300
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
150
Qty Limit Days:
30
ID:
158827
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
1012899
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
158828
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
1310138
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
158829
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
1310144
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
158830
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
1310147
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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