Displaying 159711-159720 of 1611142 results.
ID:
159711
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
314227
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
12
Qty Limit Days:
30
ID:
159712
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
142046
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
159713
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
244374
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
159714
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
238004
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
4
Qty Limit Days:
28
ID:
159715
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
313921
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
159716
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
238003
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
4
Qty Limit Days:
28
ID:
159717
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
403923
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
4
Qty Limit Days:
28
ID:
159718
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
198322
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
159719
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
308962
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
159720
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
849395
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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