Displaying 163051-163060 of 1611142 results.
ID:
163051
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
197900
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
163052
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
197901
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
163053
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
197902
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
150
Qty Limit Days:
30
ID:
163054
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
311386
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
163055
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
311385
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
163056
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
314075
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
163057
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
310812
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
163058
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
861427
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
163059
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
991086
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
163060
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
314006
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
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