Displaying 158871-158880 of 1611142 results.
ID:
158871
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
2121096
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
240
Qty Limit Days:
30
ID:
158872
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
2121100
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
158873
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
1298099
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
158874
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
545293
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
158875
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
207029
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
158876
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
665022
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
600
Qty Limit Days:
30
ID:
158877
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
1720881
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
158878
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
1251596
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
158879
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
207035
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
158880
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
261101
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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