Displaying 164921-164930 of 1611142 results.
ID:
164921
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
724863
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
164922
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
724859
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
164923
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
724861
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
164924
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
403818
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
164925
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
897021
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
164926
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
2049264
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
164927
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
1856424
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
164928
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
2052064
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
164929
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
861375
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
164930
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
861370
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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