Displaying 163291-163300 of 1611142 results.
ID:
163291
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
2055676
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
163292
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
2055672
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
163293
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
1010603
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
163294
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
1307058
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
163295
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
1010606
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
163296
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
1307063
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
163297
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
314111
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
163298
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
858798
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
150
Qty Limit Days:
30
ID:
163299
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
311725
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
163300
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
311726
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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