Displaying 164241-164250 of 1611142 results.
ID:
164241
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
1046402
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
164242
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
1649491
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
164243
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
1649495
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
164244
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
2168596
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
450
Qty Limit Days:
30
ID:
164245
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
2045638
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
2
Qty Limit Days:
30
ID:
164246
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
2120195
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
1
Qty Limit Days:
30
ID:
164247
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
1991509
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
164248
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
858125
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
164249
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
858127
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
164250
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
197699
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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