Displaying 159121-159130 of 1611142 results.
ID:
159121
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
197978
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
159122
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
1246306
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
10
Qty Limit Days:
30
ID:
159123
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
1246290
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
10
Qty Limit Days:
30
ID:
159124
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
1666334
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
159125
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
1116639
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
159126
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
859192
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
159127
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
1539762
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
159128
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
991233
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
159129
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
308047
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
159130
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
308048
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
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