Displaying 159131-159140 of 1611142 results.
ID:
159131
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
197321
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
159132
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
197322
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
150
Qty Limit Days:
30
ID:
159133
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
197444
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
159134
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
197445
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
159135
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
197816
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
159136
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
197815
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
159137
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
1001004
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
159138
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
351264
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
159139
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
848951
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
159140
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
834346
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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