Displaying 159831-159840 of 1611142 results.
ID:
159831
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
349553
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
159832
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
349547
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
159833
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
856373
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
159834
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
310288
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
159835
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
197985
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
159836
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
197984
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
159837
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
598006
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
159838
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
197650
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
159839
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
861601
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
159840
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
861597
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
1
Qty Limit Days:
28
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