Displaying 159581-159590 of 1611142 results.
ID:
159581
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
1745091
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
159582
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
1801289
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
159583
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
311892
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
159584
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
311893
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
159585
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
199521
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
180
Qty Limit Days:
30
ID:
159586
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
996572
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
159587
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
198076
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
159588
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
198077
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
159589
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
198078
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
159590
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
198075
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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