Displaying 162521-162530 of 1611142 results.
ID:
162521
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
1099687
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
162522
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
312036
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
162523
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
856940
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
5400
Qty Limit Days:
30
ID:
162524
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
834137
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
162525
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
810002
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
162526
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
809990
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
162527
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
809994
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
162528
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
809998
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
162529
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
995156
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
1200
Qty Limit Days:
30
ID:
162530
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
308963
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
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