Displaying 162691-162700 of 1611142 results.
ID:
162691
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
1043582
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
162692
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
1043574
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
162693
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
1486981
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
162694
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
1486977
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
162695
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
1940498
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
162696
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
1593831
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
162697
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
1593833
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
162698
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
1593835
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
162699
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
1593775
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
162700
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
847917
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
1
Qty Limit Days:
30
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