Displaying 159751-159760 of 1611142 results.
ID:
159751
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
854252
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
159752
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
406503
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
159753
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
858262
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
159754
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
310023
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
159755
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
403890
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
159756
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
197549
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
159757
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
197550
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
159758
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
2102717
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
159759
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
2102713
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
159760
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
2102715
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
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