Displaying 163361-163370 of 1611142 results.
ID:
163361
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
314231
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
163362
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
312961
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
163363
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
198211
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
163364
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
200060
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
163365
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
317573
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
163366
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
312440
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
163367
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
312441
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
163368
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
199123
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
163369
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
197956
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
163370
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
197958
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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