Displaying 163941-163950 of 1611142 results.
ID:
163941
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
1312408
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
163942
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
1439894
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
163943
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
1439896
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
163944
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
1439899
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
163945
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
1439901
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
163946
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
1439903
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
163947
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
2105657
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
180
Qty Limit Days:
30
ID:
163948
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
2105645
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
163949
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
2105653
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
600
Qty Limit Days:
30
ID:
163950
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
2180336
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
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