Displaying 162861-162870 of 1611142 results.
ID:
162861
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
2110516
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
162862
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
886634
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
5
Qty Limit Days:
30
ID:
162863
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
1437702
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
162864
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
857002
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
360
Qty Limit Days:
30
ID:
162865
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
857005
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
360
Qty Limit Days:
30
ID:
162866
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
856999
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
360
Qty Limit Days:
30
ID:
162867
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
993781
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
390
Qty Limit Days:
30
ID:
162868
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
1049221
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
360
Qty Limit Days:
30
ID:
162869
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
1049225
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
360
Qty Limit Days:
30
ID:
162870
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
1049214
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
360
Qty Limit Days:
30
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