Displaying 163521-163530 of 1611142 results.
ID:
163521
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
996571
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
163522
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
996561
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
163523
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
201708
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
163524
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
248420
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
163525
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
351172
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
163526
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
199422
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
163527
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
200082
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
163528
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
199663
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
163529
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
905199
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
163530
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
905225
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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