Displaying 159371-159380 of 1611142 results.
ID:
159371
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
856999
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
360
Qty Limit Days:
30
ID:
159372
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
993781
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
390
Qty Limit Days:
30
ID:
159373
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
1049221
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
360
Qty Limit Days:
30
ID:
159374
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
1049225
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
360
Qty Limit Days:
30
ID:
159375
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
1049214
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
360
Qty Limit Days:
30
ID:
159376
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
1091497
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
159377
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
1091392
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
159378
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
1091145
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
159379
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
1091225
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
159380
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
897696
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
240
Qty Limit Days:
30
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