Displaying 159881-159890 of 1611142 results.
ID:
159881
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
1483744
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
159882
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
310346
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
159883
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
721791
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
159884
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
721794
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
159885
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
721796
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
159886
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
895670
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
159887
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
197319
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
159888
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
197320
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
159889
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
197527
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
159890
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
197528
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
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