Displaying 159471-159480 of 1611142 results.
ID:
159471
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
309844
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
240
Qty Limit Days:
30
ID:
159472
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
865117
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
159473
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
865123
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
159474
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
860918
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
159475
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
859841
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
159476
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
313159
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
12
Qty Limit Days:
30
ID:
159477
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
197516
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
159478
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
197517
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
159479
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
996740
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
300
Qty Limit Days:
30
ID:
159480
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
311369
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
320
Qty Limit Days:
30
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