Displaying 163971-163980 of 1611142 results.
ID:
163971
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
1650974
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
163972
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
1650976
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
163973
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
1739766
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
163974
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
1739774
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
163975
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
2173500
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
10
Qty Limit Days:
30
ID:
163976
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
1739778
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
163977
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
1739782
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
163978
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
795085
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
163979
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
849599
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
163980
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
1739770
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
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