Displaying 162341-162350 of 1611142 results.
ID:
162341
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
1245003
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
162342
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
825425
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
162343
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
825429
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
162344
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
884619
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
162345
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
2121061
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
162346
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
1656356
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
162347
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
1859501
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
180
Qty Limit Days:
30
ID:
162348
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
1919094
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
240
Qty Limit Days:
30
ID:
162349
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
2169314
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
162350
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
2169322
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
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