Displaying 158961-158970 of 1611142 results.
ID:
158961
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
643066
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
158962
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
1652084
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
158963
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
1006801
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
180
Qty Limit Days:
30
ID:
158964
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
996921
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
158965
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
721773
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
158966
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
476179
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
158967
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
476177
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
270
Qty Limit Days:
30
ID:
158968
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
199703
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
158969
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
899511
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
158970
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
899439
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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