Displaying 163561-163570 of 1611142 results.
ID:
163561
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
997220
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
163562
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
349201
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
163563
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
200034
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
163564
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
312078
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
163565
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
314154
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
163566
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
283639
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
163567
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
200284
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
163568
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
312076
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
163569
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
351108
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
163570
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
349251
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
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