Displaying 162021-162030 of 1611142 results.
ID:
162021
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
847213
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
162022
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
1652640
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
162023
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
847189
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
162024
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
847199
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
162025
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
1731317
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
162026
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
643177
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
162027
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
643173
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
162028
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
643175
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
162029
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
799830
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
162030
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
1045408
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
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