Displaying 159781-159790 of 1611142 results.
ID:
159781
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
1540356
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
159782
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
992475
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
159783
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
995258
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
159784
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
1049621
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
360
Qty Limit Days:
30
ID:
159785
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
2101899
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
159786
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
1049683
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
360
Qty Limit Days:
30
ID:
159787
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
1049686
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
180
Qty Limit Days:
30
ID:
159788
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
1091150
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
159789
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
899557
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
159790
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
899518
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
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