Displaying 164531-164540 of 1611142 results.
ID:
164531
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
966237
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
164532
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
966238
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
164533
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
966246
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
164534
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
966241
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
164535
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
966243
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
164536
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
1049223
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
360
Qty Limit Days:
30
ID:
164537
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
1049227
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
360
Qty Limit Days:
30
ID:
164538
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
1049216
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
360
Qty Limit Days:
30
ID:
164539
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
854801
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
164540
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
313477
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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