Displaying 163261-163270 of 1611142 results.
ID:
163261
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
866103
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
163262
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
672567
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
163263
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
672569
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
163264
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
672571
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
163265
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
993541
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
163266
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
993557
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
163267
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
1946529
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
163268
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
1946527
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
163269
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
1946525
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
163270
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
996615
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
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