Displaying 158831-158840 of 1611142 results.
ID:
158831
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
1364114
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
158832
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
1364118
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
158833
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
1364122
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
158834
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
1653243
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
158835
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
1599797
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
158836
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
1603361
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
158837
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
1603365
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
158838
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
1603369
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
158839
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
1656346
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
158840
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
1425110
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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