Displaying 165241-165250 of 1611142 results.
ID:
165241
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
830877
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
165242
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
830879
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
165243
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
830882
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
165244
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
830897
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
165245
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
198363
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
165246
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
200220
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
180
Qty Limit Days:
30
ID:
165247
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
830861
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
165248
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
830845
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
165249
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
830837
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
165250
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
830801
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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