Displaying 163631-163640 of 1611142 results.
ID:
163631
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
848730
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
163632
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
848734
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
163633
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
848752
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
163634
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
1491624
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
163635
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
2468316
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
158
Qty Limit Days:
30
ID:
163636
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
2381144
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
360
Qty Limit Days:
30
ID:
163637
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
465355
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
163638
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
979099
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
163639
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
967023
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
163640
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
967012
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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