Displaying 162581-162590 of 1611142 results.
ID:
162581
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
759473
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
162582
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
896185
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
162583
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
896212
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
162584
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
896229
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
162585
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
896237
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
12
Qty Limit Days:
30
ID:
162586
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
896245
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
12
Qty Limit Days:
30
ID:
162587
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
896273
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
12
Qty Limit Days:
30
ID:
162588
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
895996
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
10
Qty Limit Days:
30
ID:
162589
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
896001
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
12
Qty Limit Days:
30
ID:
162590
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
896006
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
24
Qty Limit Days:
30
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