Displaying 163541-163550 of 1611142 results.
ID:
163541
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
313565
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
163542
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
313564
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
163543
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
199885
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
163544
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
242438
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
163545
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
200094
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
163546
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
200095
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
163547
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
200096
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
163548
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
197311
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
163549
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
197313
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
163550
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
313566
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
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