Displaying 159741-159750 of 1611142 results.
ID:
159741
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
1809738
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
159742
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
1809667
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
159743
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
1233711
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
159744
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
1013867
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
159745
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
854228
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
18
Qty Limit Days:
30
ID:
159746
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
854235
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
24
Qty Limit Days:
30
ID:
159747
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
854238
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
36
Qty Limit Days:
30
ID:
159748
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
854241
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
48
Qty Limit Days:
30
ID:
159749
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
854248
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
159750
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
854245
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
48
Qty Limit Days:
30
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