Displaying 165141-165150 of 1611142 results.
ID:
165141
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
199890
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
165142
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
845488
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
165143
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
861736
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
165144
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
861740
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
165145
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
577315
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
165146
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
577317
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
165147
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
836395
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
240
Qty Limit Days:
30
ID:
165148
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
198116
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
165149
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
349253
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
165150
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
656659
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
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