Displaying 163241-163250 of 1611142 results.
ID:
163241
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
854235
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
24
Qty Limit Days:
30
ID:
163242
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
854238
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
36
Qty Limit Days:
30
ID:
163243
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
854241
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
48
Qty Limit Days:
30
ID:
163244
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
854248
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
163245
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
854245
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
48
Qty Limit Days:
30
ID:
163246
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
854252
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
163247
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
406503
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
163248
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
858262
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
163249
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
310023
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
163250
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
403890
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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