Displaying 165271-165280 of 1611142 results.
ID:
165271
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
904396
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
8
Qty Limit Days:
28
ID:
165272
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
199672
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
480
Qty Limit Days:
30
ID:
165273
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
252559
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
165274
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
239238
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
165275
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
602393
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
165276
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
432402
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
165277
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
477560
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
165278
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
477562
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
165279
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
1373497
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
165280
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
403875
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
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