Displaying 165171-165180 of 1611142 results.
ID:
165171
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
310434
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
165172
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
403966
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
165173
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
403967
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
165174
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
1358776
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
165175
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
309367
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
165176
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
198014
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
165177
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
311753
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
165178
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
1299897
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
165179
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
197891
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
165180
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
197892
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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