Displaying 163681-163690 of 1611142 results.
ID:
163681
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
597977
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
163682
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
597971
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
163683
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
198038
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
163684
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
198039
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
163685
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
198040
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
163686
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
1010600
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
163687
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
1307056
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
163688
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
1010604
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
163689
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
198182
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
163690
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
351223
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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