Displaying 163811-163820 of 1611142 results.
ID:
163811
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
727316
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
4
Qty Limit Days:
30
ID:
163812
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
1870207
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
4
Qty Limit Days:
30
ID:
163813
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
1374574
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
240
Qty Limit Days:
30
ID:
163814
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
2001430
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
163815
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
2003255
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
163816
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
2043464
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
163817
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
1246321
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
163818
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
865208
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
163819
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
865212
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
163820
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
865216
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
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