Displaying 164051-164060 of 1611142 results.
ID:
164051
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
858817
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
164052
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
858810
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
164053
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
308973
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
164054
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
858824
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
164055
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
858828
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
164056
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
308976
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
164057
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
310379
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
164058
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
310380
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
164059
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
1313112
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
164060
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
855671
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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