Displaying 165021-165030 of 1611142 results.
ID:
165021
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
1490034
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
180
Qty Limit Days:
30
ID:
165022
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
1490038
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
180
Qty Limit Days:
30
ID:
165023
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
1597620
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
165024
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
313580
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
165025
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
1996246
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
165026
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
859081
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
180
Qty Limit Days:
30
ID:
165027
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
1486691
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
165028
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
1111020
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
165029
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
1653221
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
165030
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
311288
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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