Displaying 159911-159920 of 1611142 results.
ID:
159911
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
863619
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
159912
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
863628
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
159913
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
314080
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
159914
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
1190655
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
159915
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
545236
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
159916
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
1724340
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
159917
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
312075
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
159918
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
308345
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
159919
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
197636
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
159920
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
1312625
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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