Displaying 163961-163970 of 1611142 results.
ID:
163961
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
858057
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
163962
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
858055
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
163963
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
858053
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
163964
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
2059017
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
163965
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
1232084
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
163966
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
1232088
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
163967
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
1114202
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
163968
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
1549683
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
51
Qty Limit Days:
30
ID:
163969
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
1650968
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
163970
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
1650972
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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