Displaying 165381-165390 of 1611142 results.
ID:
165381
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
2283505
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
165382
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
2283515
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
56
Qty Limit Days:
28
ID:
165383
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
2283518
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
56
Qty Limit Days:
28
ID:
165384
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
2283509
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
165385
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
2283513
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
165386
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
2283538
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
28
Qty Limit Days:
28
ID:
165387
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
2283536
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
28
Qty Limit Days:
28
ID:
165388
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
2283540
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
28
Qty Limit Days:
28
ID:
165389
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
311944
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
165390
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
2058520
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
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