Displaying 162601-162610 of 1611142 results.
ID:
162601
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
2173822
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
3
Qty Limit Days:
28
ID:
162602
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
2395775
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
162603
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
213557
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
162604
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
249066
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
162605
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
311671
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
162606
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
898367
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
162607
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
898378
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
162608
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
898372
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
162609
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
995278
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
162610
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
995253
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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