Displaying 162231-162240 of 1611142 results.
ID:
162231
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
2284104
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
162232
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
1741049
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
162233
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
2273115
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
162234
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
616283
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
162235
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
2284106
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
162236
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
616287
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
162237
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
1541928
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
162238
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
702296
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
162239
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
616292
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
162240
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
1357547
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
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