Displaying 164621-164630 of 1611142 results.
ID:
164621
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
314208
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
164622
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
312847
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
164623
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
205284
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
164624
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
205285
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
164625
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
643019
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
164626
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
643022
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
164627
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
866482
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
164628
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
866479
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
164629
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
349401
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
164630
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
349405
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
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