Displaying 164381-164390 of 1611142 results.
ID:
164381
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
205918
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
164382
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
205922
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
164383
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
205924
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
164384
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
1721690
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
164385
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
212219
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
164386
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
213475
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
164387
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
794610
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
164388
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
831870
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
164389
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
850457
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
180
Qty Limit Days:
30
ID:
164390
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
1236632
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
400
Qty Limit Days:
30
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