Displaying 163061-163070 of 1611142 results.
ID:
163061
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
315107
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
163062
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
310489
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
240
Qty Limit Days:
30
ID:
163063
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
250344
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
163064
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
722122
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
163065
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
722116
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
163066
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
198250
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
163067
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
197502
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
163068
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
863559
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
1080
Qty Limit Days:
30
ID:
163069
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
312025
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
163070
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
198041
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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