Displaying 164141-164150 of 1611142 results.
ID:
164141
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
1921598
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
164142
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
430902
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
164143
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
828348
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
164144
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
1369831
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
164145
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
1304985
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
164146
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
1811182
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
164147
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
1716215
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
164148
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
1716219
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
164149
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
1716223
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
164150
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
1649405
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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