Displaying 161891-161900 of 1611142 results.
ID:
161891
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
2283538
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
28
Qty Limit Days:
28
ID:
161892
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
2283536
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
28
Qty Limit Days:
28
ID:
161893
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
2283540
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
28
Qty Limit Days:
28
ID:
161894
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
311944
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
161895
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
2058520
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
161896
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
2058525
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
161897
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
208083
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
161898
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
2275613
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
161899
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
2272118
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
161900
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
2272122
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
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