Displaying 164251-164260 of 1611142 results.
ID:
164251
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
197700
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
164252
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
596926
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
164253
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
596930
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
164254
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
596934
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
164255
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
308192
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
164256
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
834061
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
164257
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
834102
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
164258
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
104894
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
164259
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
861132
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
164260
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
310352
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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