Displaying 163551-163560 of 1611142 results.
ID:
163551
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
485434
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
163552
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
485436
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
163553
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
859424
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
163554
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
859747
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
163555
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
859751
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
163556
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
859419
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
163557
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
199192
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
163558
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
199193
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
163559
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
198382
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
163560
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
997226
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
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