Displaying 162131-162140 of 1611142 results.
ID:
162131
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
150840
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
162132
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
208949
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
162133
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
202301
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
162134
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
1000491
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
162135
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
1000497
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
162136
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
1000499
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
162137
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
1000500
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
162138
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
1000487
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
162139
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
352228
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
162140
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
1653579
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
1
Qty Limit Days:
1
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