Displaying 159331-159340 of 1611142 results.
ID:
159331
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
404061
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
159332
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
404064
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
159333
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
1918042
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
159334
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
1111641
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
159335
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
1487361
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
12
Qty Limit Days:
28
ID:
159336
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
351137
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
159337
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
351136
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
159338
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
1855389
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
159339
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
199689
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
159340
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
603208
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
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