Displaying 159031-159040 of 1611142 results.
ID:
159031
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
809990
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
159032
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
809994
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
159033
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
809998
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
159034
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
995156
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
1200
Qty Limit Days:
30
ID:
159035
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
308963
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
159036
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
317173
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
159037
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
308964
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
270
Qty Limit Days:
30
ID:
159038
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
197604
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
159039
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
197606
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
159040
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
198089
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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