Displaying 159241-159250 of 1611142 results.
ID:
159241
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
615111
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
159242
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
847626
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
159243
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
312128
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
159244
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
240637
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
159245
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
801405
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
159246
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
866924
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
159247
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
197465
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
720
Qty Limit Days:
30
ID:
159248
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
197466
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
360
Qty Limit Days:
30
ID:
159249
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
197505
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
159250
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
198286
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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