Displaying 162361-162370 of 1611142 results.
ID:
162361
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
1923056
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
91
Qty Limit Days:
28
ID:
162362
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
1923058
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
91
Qty Limit Days:
28
ID:
162363
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
2002719
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
420
Qty Limit Days:
30
ID:
162364
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
2058981
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
180
Qty Limit Days:
30
ID:
162365
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
2123314
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
162366
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
2121096
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
240
Qty Limit Days:
30
ID:
162367
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
2121100
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
162368
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
1298099
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
162369
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
545293
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
162370
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
207029
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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