Displaying 162681-162690 of 1611142 results.
ID:
162681
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
2053927
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
162682
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
1721571
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
162683
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
1721583
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
162684
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
1989109
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
162685
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
2205634
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
162686
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
1790644
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
10
Qty Limit Days:
30
ID:
162687
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
2387331
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
10
Qty Limit Days:
30
ID:
162688
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
858044
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
162689
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
858040
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
162690
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
1043567
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
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