Displaying 164971-164980 of 1611142 results.
ID:
164971
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
647237
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
164972
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
647239
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
164973
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
352210
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
164974
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
198175
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
164975
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
1490032
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
164976
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
1490036
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
180
Qty Limit Days:
30
ID:
164977
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
1490040
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
180
Qty Limit Days:
30
ID:
164978
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
351156
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
164979
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
1361615
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
164980
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
1361226
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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