Displaying 159611-159620 of 1611142 results.
ID:
159611
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
1100706
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
159612
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
1430449
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
159613
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
1592748
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
159614
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
1592752
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
159615
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
1243033
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
159616
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
1243040
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
159617
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
1243026
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
159618
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
1545664
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
159619
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
1545668
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
159620
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
1651275
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
4
Qty Limit Days:
30
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