Displaying 163481-163490 of 1611142 results.
ID:
163481
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
1149376
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
163482
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
1812015
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
163483
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
862006
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
163484
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
862013
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
163485
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
862019
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
163486
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
862025
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
163487
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
201388
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
163488
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
1665102
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
163489
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
1737578
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
163490
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
1659283
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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