Displaying 165011-165020 of 1611142 results.
ID:
165011
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
282755
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
165012
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
205304
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
165013
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
205305
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
165014
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
409823
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
165015
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
892582
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
240
Qty Limit Days:
30
ID:
165016
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
892672
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
180
Qty Limit Days:
30
ID:
165017
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
1923822
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
165018
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
1923828
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
165019
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
1923826
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
165020
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
1490026
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
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