Displaying 165041-165050 of 1611142 results.
ID:
165041
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
105171
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
165042
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
995599
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
165043
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
995607
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
165044
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
307650
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
165045
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
309097
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
165046
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
309098
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
165047
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
835572
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
165048
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
835591
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
165049
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
835577
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
165050
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
312940
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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