Displaying 162041-162050 of 1611142 results.
ID:
162041
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
1992428
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
74
Qty Limit Days:
30
ID:
162042
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
213282
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
162043
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
213283
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
162044
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
213284
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
162045
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
859865
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
162046
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
404460
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
162047
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
1593140
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
0
Qty Limit Days:
1
ID:
162048
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
1547575
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
162049
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
1547110
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
162050
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
744846
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
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