Displaying 164821-164830 of 1611142 results.
ID:
164821
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
1244214
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
164822
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
197312
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
164823
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
485496
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
750
Qty Limit Days:
30
ID:
164824
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
348719
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
300
Qty Limit Days:
30
ID:
164825
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
2183131
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
164826
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
825134
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
164827
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
1801519
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
164828
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
539789
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
164829
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
856666
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
164830
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
213439
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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