Displaying 158861-158870 of 1611142 results.
ID:
158861
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
1873991
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
158862
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
1873993
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
158863
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
1873995
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
158864
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
1923054
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
91
Qty Limit Days:
28
ID:
158865
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
1801840
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
158866
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
1923056
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
91
Qty Limit Days:
28
ID:
158867
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
1923058
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
91
Qty Limit Days:
28
ID:
158868
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
2002719
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
420
Qty Limit Days:
30
ID:
158869
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
2058981
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
180
Qty Limit Days:
30
ID:
158870
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
2123314
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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