Displaying 163591-163600 of 1611142 results.
ID:
163591
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
1364581
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
163592
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
1790175
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
163593
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
1790167
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
163594
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
1790171
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
163595
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
197703
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
163596
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
1300783
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
0
Qty Limit Days:
1
ID:
163597
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
831261
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
163598
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
861025
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
765
Qty Limit Days:
30
ID:
163599
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
825005
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
4
Qty Limit Days:
28
ID:
163600
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
199690
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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