Displaying 164941-164950 of 1611142 results.
ID:
164941
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
1858833
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
164942
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
2261800
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
240
Qty Limit Days:
30
ID:
164943
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
1799001
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
164944
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
1790317
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
164945
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
727714
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
164946
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
314230
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
164947
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
242120
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
164948
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
1652639
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
164949
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
628958
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
164950
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
861646
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
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