Displaying 161921-161930 of 1611142 results.
ID:
161921
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
2382993
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
8
Qty Limit Days:
28
ID:
161922
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
2272630
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
10
Qty Limit Days:
30
ID:
161923
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
2272622
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
10
Qty Limit Days:
30
ID:
161924
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
2272636
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
10
Qty Limit Days:
30
ID:
161925
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
2272624
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
10
Qty Limit Days:
30
ID:
161926
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
966153
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
161927
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
966160
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
161928
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
966166
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
161929
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
966173
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
161930
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
966177
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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