Displaying 164931-164940 of 1611142 results.
ID:
164931
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
1373745
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
164932
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
1922783
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
164933
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
1989085
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
224
Qty Limit Days:
28
ID:
164934
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
582595
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
210
Qty Limit Days:
30
ID:
164935
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
861966
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
164936
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
1442143
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
164937
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
1488667
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
164938
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
1488671
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
164939
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
1488675
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
164940
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
1488679
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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