Displaying 163621-163630 of 1611142 results.
ID:
163621
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
891881
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
163622
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
891888
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
163623
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
891893
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
163624
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
891874
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
163625
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
892646
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
163626
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
848726
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
163627
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
848738
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
163628
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
848742
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
163629
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
848746
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
163630
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
848750
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
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