Displaying 159621-159630 of 1611142 results.
ID:
159621
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
1664321
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
159622
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
1667882
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
4
Qty Limit Days:
30
ID:
159623
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
1602120
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
159624
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
1665369
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
159625
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
1664328
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
159626
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
1664325
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
159627
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
1602115
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
159628
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
1796091
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
159629
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
1796096
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
159630
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
1862688
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
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