Displaying 162031-162040 of 1611142 results.
ID:
162031
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
1045404
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
162032
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
1364441
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
162033
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
1364447
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
162034
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
607579
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
162035
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
1145932
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
162036
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
1799230
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
162037
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
1925255
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
162038
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
1925257
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
162039
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
1598989
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
180
Qty Limit Days:
30
ID:
162040
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
1601660
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
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