Displaying 159511-159520 of 1611142 results.
ID:
159511
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
577961
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
159512
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
541363
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
159513
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
404059
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
159514
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
404062
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
159515
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
643488
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
159516
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
404065
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
159517
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
751868
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
159518
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
751871
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
159519
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
751870
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
159520
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
762007
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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