Displaying 164741-164750 of 1611142 results.
ID:
164741
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
2371050
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
150
Qty Limit Days:
30
ID:
164742
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
2371054
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
150
Qty Limit Days:
30
ID:
164743
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
2371058
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
150
Qty Limit Days:
30
ID:
164744
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
2371062
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
150
Qty Limit Days:
30
ID:
164745
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
2371066
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
150
Qty Limit Days:
30
ID:
164746
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
1482513
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
164747
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
1482517
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
164748
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
1482523
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
164749
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
1482527
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
164750
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
1992571
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
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