Displaying 159931-159940 of 1611142 results.
ID:
159931
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
861007
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
150
Qty Limit Days:
30
ID:
159932
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
861010
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
159933
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
861004
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
75
Qty Limit Days:
30
ID:
159934
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
861731
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
240
Qty Limit Days:
30
ID:
159935
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
562524
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
159936
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
1652673
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
159937
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
1649429
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
159938
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
1650142
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
159939
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
353538
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
159940
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
1723156
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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