Displaying 159181-159190 of 1611142 results.
ID:
159181
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
2289424
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
240
Qty Limit Days:
30
ID:
159182
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
2289428
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
159183
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
1942485
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
159184
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
1942489
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
159185
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
2047639
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
159186
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
2053927
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
159187
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
1721571
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
159188
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
1721583
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
159189
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
1989109
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
159190
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
2205634
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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