Displaying 164811-164820 of 1611142 results.
ID:
164811
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
835603
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
240
Qty Limit Days:
30
ID:
164812
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
283536
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
164813
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
199387
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
164814
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
312085
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
164815
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
308429
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
164816
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
283523
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
164817
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
197745
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
164818
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
197746
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
164819
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
198358
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
164820
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
1099569
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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