Displaying 161991-162000 of 1611142 results.
ID:
161991
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
2058877
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
2
Qty Limit Days:
30
ID:
161992
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
2395779
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
2
Qty Limit Days:
28
ID:
161993
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
2058887
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
2
Qty Limit Days:
30
ID:
161994
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
2370174
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
161995
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
2170613
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
3
Qty Limit Days:
30
ID:
161996
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
2395785
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
2
Qty Limit Days:
28
ID:
161997
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
2370170
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
180
Qty Limit Days:
30
ID:
161998
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
1946836
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
161999
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
1946840
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
162000
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
1946844
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
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