Displaying 159421-159430 of 1611142 results.
ID:
159421
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
1869699
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
159422
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
1805427
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
159423
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
1602588
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
159424
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
1805422
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
159425
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
1602594
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
159426
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
1858971
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
28
Qty Limit Days:
28
ID:
159427
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
751620
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
159428
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
751623
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
159429
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
751616
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
159430
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
827075
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
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