Displaying 162821-162830 of 1611142 results.
ID:
162821
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
432401
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
162822
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
1000058
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
162823
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
226552
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
162824
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
748878
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
162825
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
404058
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
162826
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
404061
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
162827
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
404064
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
162828
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
1918042
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
162829
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
1111641
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
162830
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
1487361
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
12
Qty Limit Days:
28
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