Displaying 165001-165010 of 1611142 results.
ID:
165001
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
637173
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
165002
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
312840
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
12
Qty Limit Days:
30
ID:
165003
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
314209
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
12
Qty Limit Days:
30
ID:
165004
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
199206
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
165005
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
197805
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
165006
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
197806
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
165007
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
197807
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
165008
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
311347
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
165009
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
311204
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
165010
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
898715
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
900
Qty Limit Days:
30
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