Displaying 159441-159450 of 1611142 results.
ID:
159441
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
1606490
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
159442
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
859983
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
159443
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
859979
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
159444
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
1307309
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
159445
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
2052609
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
159446
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
2052704
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
159447
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
2105817
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
159448
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
1300797
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
159449
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
1300803
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
159450
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
967388
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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