Displaying 159631-159640 of 1611142 results.
ID:
159631
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
1862701
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
159632
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
1862697
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
159633
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
1862692
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
159634
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
991082
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
159635
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
702519
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
159636
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
314182
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
159637
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
885219
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
159638
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
885213
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
159639
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
197426
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
180
Qty Limit Days:
30
ID:
159640
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
1049635
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
360
Qty Limit Days:
30
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