Displaying 165081-165090 of 1611142 results.
ID:
165081
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
312122
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
165082
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
833709
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
165083
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
833711
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
165084
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
833713
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
165085
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
200346
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
165086
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
308135
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
165087
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
309054
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
165088
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
826612
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
165089
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
672149
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
165090
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
477347
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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