Displaying 159361-159370 of 1611142 results.
ID:
159361
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
486152
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
159362
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
486146
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
159363
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
577057
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
15
Qty Limit Days:
30
ID:
159364
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
2110510
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
159365
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
2110513
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
159366
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
2110516
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
159367
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
886634
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
5
Qty Limit Days:
30
ID:
159368
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
1437702
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
159369
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
857002
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
360
Qty Limit Days:
30
ID:
159370
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
857005
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
360
Qty Limit Days:
30
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