Displaying 163831-163840 of 1611142 results.
ID:
163831
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
1989506
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
163832
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
2122526
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
163833
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
2380551
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
163834
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
2374566
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
180
Qty Limit Days:
30
ID:
163835
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
197839
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
163836
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
313447
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
163837
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
861402
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
163838
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
835593
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
163839
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
835564
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
163840
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
835568
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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