Displaying 158851-158860 of 1611142 results.
ID:
158851
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
1656356
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
158852
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
1859501
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
180
Qty Limit Days:
30
ID:
158853
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
1919094
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
240
Qty Limit Days:
30
ID:
158854
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
2169314
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
158855
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
2169322
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
158856
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
2362240
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
158857
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
2169320
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
158858
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
2362244
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
158859
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
1365866
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
158860
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
1656351
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
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