Displaying 165111-165120 of 1611142 results.
ID:
165111
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
314076
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
165112
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
314077
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
165113
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
205326
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
165114
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
646456
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
165115
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
310154
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
165116
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
848768
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
360
Qty Limit Days:
30
ID:
165117
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
1738511
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
165118
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
205316
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
165119
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
205315
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
165120
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
313583
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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