Displaying 163381-163390 of 1611142 results.
ID:
163381
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
895670
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
163382
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
197319
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
163383
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
197320
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
163384
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
197527
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
163385
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
197528
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
163386
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
197529
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
300
Qty Limit Days:
30
ID:
163387
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
312744
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
163388
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
616487
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
163389
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
312962
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
163390
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
349332
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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