Displaying 165061-165070 of 1611142 results.
ID:
165061
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
311353
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
165062
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
311354
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
165063
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
197884
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
165064
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
197885
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
165065
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
197886
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
165066
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
197887
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
165067
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
314203
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
165068
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
312749
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
165069
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
199353
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
165070
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
199351
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
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