Displaying 165201-165210 of 1611142 results.
ID:
165201
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
313291
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
165202
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
1245919
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
165203
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
1242786
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
165204
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
200329
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
165205
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
864681
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
165206
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
307731
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
165207
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
864675
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
165208
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
835726
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
165209
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
349373
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
165210
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
314266
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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