Displaying 162481-162490 of 1611142 results.
ID:
162481
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
308868
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
162482
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
403879
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
162483
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
476556
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
162484
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
197535
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
162485
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
310295
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
162486
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
310297
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
162487
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
313992
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
162488
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
313993
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
162489
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
310293
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
162490
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
310294
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
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