Displaying 164631-164640 of 1611142 results.
ID:
164631
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
205322
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
164632
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
205323
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
164633
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
403853
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
164634
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
403854
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
164635
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
403855
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
164636
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
859981
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
164637
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
859975
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
164638
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
283316
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
164639
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
283317
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
164640
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
477130
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
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