Displaying 164581-164590 of 1611142 results.
ID:
164581
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
1243330
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
164582
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
1243229
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
164583
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
404587
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
164584
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
616148
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
850
Qty Limit Days:
30
ID:
164585
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
639888
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
164586
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
1744003
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
164587
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
1744007
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
164588
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
1744011
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
164589
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
901614
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
164590
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
1147337
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
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