Displaying 164761-164770 of 1611142 results.
ID:
164761
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
1876671
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
164762
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
1876673
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
164763
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
1876674
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
164764
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
1812434
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
164765
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
866111
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
164766
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
198252
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
164767
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
1373489
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
164768
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
1373493
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
164769
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
1373498
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
164770
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
1040058
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
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