Displaying 159161-159170 of 1611142 results.
ID:
159161
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
794639
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
159162
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
616578
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
159163
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
999965
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
159164
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
801417
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
159165
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
204520
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
159166
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
1601982
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
159167
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
1799890
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
159168
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
1795252
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
159169
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
244098
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
159170
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
245220
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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