Displaying 159311-159320 of 1611142 results.
ID:
159311
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
242333
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
4
Qty Limit Days:
28
ID:
159312
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
241527
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
4
Qty Limit Days:
28
ID:
159313
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
403922
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
4
Qty Limit Days:
28
ID:
159314
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
402109
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
159315
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
855875
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
159316
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
834235
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
159317
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
834241
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
159318
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
1000076
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
159319
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
1000097
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
159320
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
830865
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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