Displaying 159091-159100 of 1611142 results.
ID:
159091
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
896245
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
12
Qty Limit Days:
30
ID:
159092
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
896273
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
12
Qty Limit Days:
30
ID:
159093
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
895996
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
10
Qty Limit Days:
30
ID:
159094
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
896001
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
12
Qty Limit Days:
30
ID:
159095
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
896006
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
24
Qty Limit Days:
30
ID:
159096
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
1539893
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
159097
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
1487528
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
159098
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
1539885
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
159099
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
1547660
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
159100
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
1547672
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
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