Displaying 162221-162230 of 1611142 results.
ID:
162221
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
2058922
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
162222
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
2103175
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
162223
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
2103179
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
162224
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
2284108
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
162225
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
2099952
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
162226
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
2105860
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
162227
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
637188
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
162228
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
795735
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
162229
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
637190
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
162230
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
795737
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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