Displaying 164591-164600 of 1611142 results.
ID:
164591
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
1306298
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
164592
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
1551999
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
164593
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
1544471
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
164594
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
1544475
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
164595
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
1721619
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
164596
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
1747697
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
164597
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
1741739
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
164598
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
1799218
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
28
Qty Limit Days:
28
ID:
164599
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
2288816
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
56
Qty Limit Days:
28
ID:
164600
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
1858267
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
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