Displaying 162051-162060 of 1611142 results.
ID:
162051
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
1547114
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
162052
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
1547118
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
162053
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
1235595
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
180
Qty Limit Days:
30
ID:
162054
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
1235591
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
180
Qty Limit Days:
30
ID:
162055
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
668606
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
162056
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
2055766
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
162057
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
1924315
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
162058
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
1486841
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
162059
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
798300
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
2
Qty Limit Days:
1
ID:
162060
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
830253
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
0
Qty Limit Days:
1
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