Displaying 159201-159210 of 1611142 results.
ID:
159201
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
1593831
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
159202
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
1593833
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
159203
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
1593835
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
159204
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
1593775
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
159205
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
847917
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
1
Qty Limit Days:
30
ID:
159206
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
847913
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
2
Qty Limit Days:
30
ID:
159207
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
1990869
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
3
Qty Limit Days:
28
ID:
159208
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
861045
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
159209
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
861043
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
159210
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
206347
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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