Displaying 161901-161910 of 1611142 results.
ID:
161901
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
2272126
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
161902
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
2394947
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
161903
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
2199304
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
161904
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
2199308
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
161905
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
2199312
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
161906
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
2199316
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
161907
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
2099323
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
161908
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
206883
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
161909
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
2473107
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
161910
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
206902
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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