Displaying 163911-163920 of 1611142 results.
ID:
163911
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
205532
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
150
Qty Limit Days:
30
ID:
163912
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
1592285
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
270
Qty Limit Days:
30
ID:
163913
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
1868016
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
270
Qty Limit Days:
30
ID:
163914
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
1868020
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
163915
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
1727485
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
240
Qty Limit Days:
30
ID:
163916
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
1441530
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
163917
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
1242998
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
163918
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
2106075
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
163919
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
2058950
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
163920
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
2058946
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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