Displaying 164171-164180 of 1611142 results.
ID:
164171
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
1373337
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
164172
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
312084
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
164173
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
198051
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
164174
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
312077
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
164175
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
313412
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
164176
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
313413
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
164177
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
314286
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
164178
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
313776
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
164179
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
313777
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
164180
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
313778
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
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