Displaying 163121-163130 of 1611142 results.
ID:
163121
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
1664325
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
163122
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
1602115
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
163123
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
1796091
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
163124
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
1796096
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
163125
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
1862688
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
163126
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
1862701
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
163127
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
1862697
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
163128
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
1862692
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
163129
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
991082
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
163130
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
702519
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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