Displaying 165251-165260 of 1611142 results.
ID:
165251
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
352257
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
540
Qty Limit Days:
30
ID:
165252
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
1364477
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
165253
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
1602028
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
165254
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
1602034
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
165255
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
1602040
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
165256
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
1602046
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
165257
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
2265729
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
165258
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
2265732
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
165259
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
2265735
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
165260
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
877417
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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