Displaying 159381-159390 of 1611142 results.
ID:
159381
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
897702
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
240
Qty Limit Days:
30
ID:
159382
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
897710
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
180
Qty Limit Days:
30
ID:
159383
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
864706
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
360
Qty Limit Days:
30
ID:
159384
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
1049611
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
240
Qty Limit Days:
30
ID:
159385
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
1049618
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
180
Qty Limit Days:
30
ID:
159386
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
245136
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
15
Qty Limit Days:
30
ID:
159387
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
245134
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
15
Qty Limit Days:
30
ID:
159388
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
245135
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
15
Qty Limit Days:
30
ID:
159389
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
197696
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
15
Qty Limit Days:
30
ID:
159390
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
1870650
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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