Displaying 162531-162540 of 1611142 results.
ID:
162531
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
317173
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
162532
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
308964
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
270
Qty Limit Days:
30
ID:
162533
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
197604
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
162534
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
197606
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
162535
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
198089
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
162536
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
198083
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
162537
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
314055
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
162538
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
1550940
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
162539
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
1655960
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
162540
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
859824
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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