Displaying 164311-164320 of 1611142 results.
ID:
164311
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
809159
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
164312
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
802652
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
164313
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
1653225
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
164314
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
2182340
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
164315
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
2392142
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
164316
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
261105
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
164317
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
1310531
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
164318
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
1310535
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
164319
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
2110618
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
164320
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
1114074
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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