Displaying 165231-165240 of 1611142 results.
ID:
165231
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
1370758
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
165232
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
1366550
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
165233
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
861668
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
16
Qty Limit Days:
28
ID:
165234
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
830795
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
165235
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
831359
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
165236
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
313453
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
165237
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
359050
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
165238
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
801957
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
5
Qty Limit Days:
30
ID:
165239
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
801961
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
5
Qty Limit Days:
30
ID:
165240
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
801966
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
5
Qty Limit Days:
30
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