Displaying 163571-163580 of 1611142 results.
ID:
163571
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
153822
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
163572
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
153823
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
163573
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
639537
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
163574
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
578325
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
163575
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
578330
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
163576
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
802749
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
163577
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
861822
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
163578
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
1095712
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
163579
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
1665515
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
163580
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
1719286
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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