Displaying 165071-165080 of 1611142 results.
ID:
165071
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
199352
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
165072
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
198189
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
165073
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
261962
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
165074
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
199147
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
165075
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
349491
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
165076
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
853201
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
165077
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
1649990
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
165078
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
1650030
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
165079
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
198201
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
165080
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
728109
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
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