Displaying 159981-159990 of 1611142 results.
ID:
159981
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
1791569
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
159982
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
1791576
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
180
Qty Limit Days:
30
ID:
159983
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
1791582
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
180
Qty Limit Days:
30
ID:
159984
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
1149370
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
159985
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
1149373
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
159986
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
1149376
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
159987
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
1812015
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
159988
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
862006
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
159989
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
862013
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
159990
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
862019
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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