Displaying 164571-164580 of 1611142 results.
ID:
164571
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
1242615
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
164572
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
763457
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
164573
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
1667666
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
164574
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
1667670
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
164575
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
1667674
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
164576
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
1667678
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
164577
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
1741747
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
164578
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
1809471
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
164579
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
1243346
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
240
Qty Limit Days:
30
ID:
164580
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
1243326
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
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