Displaying 163791-163800 of 1611142 results.
ID:
163791
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
1435115
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
2
Qty Limit Days:
28
ID:
163792
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
1099808
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
163793
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
1484296
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
163794
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
1190919
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
0
Qty Limit Days:
1
ID:
163795
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
1244205
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
0
Qty Limit Days:
1
ID:
163796
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
830470
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
1
Qty Limit Days:
1
ID:
163797
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
1300310
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
0
Qty Limit Days:
1
ID:
163798
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
1300206
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
0
Qty Limit Days:
1
ID:
163799
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
1300191
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
0
Qty Limit Days:
1
ID:
163800
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
1300468
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
1
Qty Limit Days:
1
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