Displaying 159761-159770 of 1611142 results.
ID:
159761
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
1314768
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
240
Qty Limit Days:
30
ID:
159762
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
211777
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
159763
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
348506
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
159764
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
1719862
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
159765
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
1719803
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
159766
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
866103
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
159767
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
672567
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
159768
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
672569
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
159769
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
672571
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
159770
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
993541
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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