Displaying 164871-164880 of 1611142 results.
ID:
164871
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
248109
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
164872
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
314108
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
164873
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
311290
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
164874
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
854984
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
164875
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
854988
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
164876
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
854925
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
164877
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
857166
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
164878
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
857174
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
164879
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
904431
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
4
Qty Limit Days:
28
ID:
164880
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
312087
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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