Displaying 161941-161950 of 1611142 results.
ID:
161941
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
2123034
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
161942
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
2274390
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
240
Qty Limit Days:
30
ID:
161943
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
1799212
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
28
Qty Limit Days:
28
ID:
161944
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
1659183
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
2
Qty Limit Days:
28
ID:
161945
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
1659161
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
2
Qty Limit Days:
28
ID:
161946
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
2472789
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
161947
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
2478450
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
161948
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
2369403
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
161949
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
1594673
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
161950
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
905059
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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