Displaying 165151-165160 of 1611142 results.
ID:
165151
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
905158
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
165152
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
199376
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
165153
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
199381
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
165154
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
898490
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
165155
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
686429
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
165156
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
314142
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
180
Qty Limit Days:
30
ID:
165157
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
311919
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
165158
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
1988308
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
165159
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
1988311
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
165160
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
1988316
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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