Displaying 163771-163780 of 1611142 results.
ID:
163771
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
805464
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
163772
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
1659927
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
163773
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
403878
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
163774
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
1098143
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
163775
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
2200174
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
163776
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
2200177
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
163777
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
2200180
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
163778
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
2200183
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
163779
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
1648755
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
163780
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
725021
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
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