Displaying 163471-163480 of 1611142 results.
ID:
163471
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
1293504
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
163472
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
1149378
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
163473
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
1790533
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
163474
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
1791560
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
163475
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
1149367
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
163476
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
1791569
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
163477
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
1791576
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
180
Qty Limit Days:
30
ID:
163478
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
1791582
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
180
Qty Limit Days:
30
ID:
163479
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
1149370
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
163480
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
1149373
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
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