Displaying 164661-164670 of 1611142 results.
ID:
164661
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
860975
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
164662
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
860981
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
164663
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
312136
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
164664
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
312137
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
164665
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
1299911
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
164666
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
855861
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
164667
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
197890
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
164668
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
855873
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
164669
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
308989
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
164670
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
308988
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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