Displaying 164841-164850 of 1611142 results.
ID:
164841
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
312938
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
164842
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
308194
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
164843
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
308182
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
164844
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
283406
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
164845
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
283407
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
164846
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
283485
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
164847
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
756209
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
1920
Qty Limit Days:
30
ID:
164848
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
311943
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
1200
Qty Limit Days:
30
ID:
164849
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
313850
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
164850
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
313222
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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