Displaying 165051-165060 of 1611142 results.
ID:
165051
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
309080
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
165052
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
309081
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
165053
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
197452
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
165054
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
197453
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
165055
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
309110
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
165056
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
309113
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
165057
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
200345
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
165058
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
197903
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
165059
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
197904
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
165060
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
197905
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
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