Displaying 161251-161260 of 1611142 results.
ID:
161251
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
1482513
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
161252
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
1482517
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
161253
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
1482523
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
161254
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
1482527
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
161255
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
1992571
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
161256
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
1235249
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
161257
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
1040036
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
161258
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
1431237
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
161259
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
1040043
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
161260
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
1297357
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
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