Displaying 159191-159200 of 1611142 results.
ID:
159191
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
1790644
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
10
Qty Limit Days:
30
ID:
159192
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
2387331
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
10
Qty Limit Days:
30
ID:
159193
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
858044
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
159194
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
858040
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
159195
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
1043567
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
159196
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
1043582
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
159197
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
1043574
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
159198
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
1486981
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
159199
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
1486977
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
159200
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
1940498
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
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