Displaying 162211-162220 of 1611142 results.
ID:
162211
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
1011080
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
162212
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
351875
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
162213
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
1307630
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
180
Qty Limit Days:
30
ID:
162214
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
1307635
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
162215
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
1243010
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
162216
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
1243014
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
162217
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
1601394
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
162218
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
1601386
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
162219
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
1601390
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
162220
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
1987734
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
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