Displaying 163111-163120 of 1611142 results.
ID:
163111
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
1243040
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
163112
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
1243026
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
163113
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
1545664
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
163114
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
1545668
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
163115
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
1651275
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
4
Qty Limit Days:
30
ID:
163116
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
1664321
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
163117
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
1667882
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
4
Qty Limit Days:
30
ID:
163118
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
1602120
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
163119
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
1665369
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
163120
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
1664328
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
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