Displaying 162351-162360 of 1611142 results.
ID:
162351
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
2362240
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
162352
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
2169320
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
162353
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
2362244
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
162354
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
1365866
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
162355
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
1656351
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
162356
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
1873991
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
162357
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
1873993
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
162358
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
1873995
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
162359
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
1923054
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
91
Qty Limit Days:
28
ID:
162360
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
1801840
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
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