Displaying 162921-162930 of 1611142 results.
ID:
162921
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
1858971
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
28
Qty Limit Days:
28
ID:
162922
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
751620
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
162923
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
751623
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
162924
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
751616
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
162925
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
827075
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
162926
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
833151
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
162927
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
833139
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
162928
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
833143
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
162929
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
833149
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
162930
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
833146
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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