Displaying 162851-162860 of 1611142 results.
ID:
162851
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
1000091
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
162852
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
209789
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
162853
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
209788
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
162854
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
861657
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
162855
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
486148
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
162856
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
486152
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
162857
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
486146
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
162858
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
577057
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
15
Qty Limit Days:
30
ID:
162859
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
2110510
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
162860
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
2110513
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
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