Displaying 164911-164920 of 1611142 results.
ID:
164911
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
313581
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
164912
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
402246
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
164913
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
402247
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
164914
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
664741
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
164915
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
833528
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
164916
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
309058
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
164917
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
419849
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
164918
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
1800499
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
164919
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
1800500
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
164920
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
992150
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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