Displaying 159081-159090 of 1611142 results.
ID:
159081
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
866049
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
159082
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
896019
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
159083
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
896027
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
159084
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
896023
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
159085
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
213484
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
159086
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
759473
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
159087
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
896185
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
159088
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
896212
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
159089
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
896229
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
159090
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
896237
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
12
Qty Limit Days:
30
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