Displaying 164781-164790 of 1611142 results.
ID:
164781
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
1600776
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
164782
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
1600915
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
164783
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
1600917
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
164784
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
1117531
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
164785
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
1116758
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
164786
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
730834
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
164787
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
543492
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
164788
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
1440936
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
164789
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
309077
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
164790
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
313428
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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