Displaying 163821-163830 of 1611142 results.
ID:
163821
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
723827
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
1800
Qty Limit Days:
30
ID:
163822
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
729201
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
163823
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
729203
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
163824
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
1796079
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
163825
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
1796083
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
163826
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
1433879
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
163827
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
1546894
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
163828
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
1857913
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
163829
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
1857917
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
163830
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
1857925
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
1840
Qty Limit Days:
30
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