Displaying 162931-162940 of 1611142 results.
ID:
162931
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
1433250
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
162932
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
1433223
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
162933
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
1433229
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
162934
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
1433235
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
162935
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
1433241
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
162936
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
1606490
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
162937
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
859983
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
162938
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
859979
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
162939
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
1307309
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
162940
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
2052609
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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