Displaying 165161-165170 of 1611142 results.
ID:
165161
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
1988319
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
165162
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
1988324
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
165163
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
1988330
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
165164
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
1649401
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
165165
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
2054979
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
360
Qty Limit Days:
30
ID:
165166
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
2054983
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
180
Qty Limit Days:
30
ID:
165167
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
2055016
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
360
Qty Limit Days:
30
ID:
165168
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
2055014
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
180
Qty Limit Days:
30
ID:
165169
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
197701
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
165170
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
310433
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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