Displaying 165221-165230 of 1611142 results.
ID:
165221
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
1876920
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
165222
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
1876924
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
165223
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
1876916
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
165224
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
308725
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
165225
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
855657
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
165226
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
1812011
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
165227
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
1812013
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
165228
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
562806
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
100
Qty Limit Days:
30
ID:
165229
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
825130
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
165230
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
260260
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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