Displaying 165291-165300 of 1611142 results.
ID:
165291
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
1944656
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
165292
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
197843
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
165293
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
197844
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
165294
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
197845
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
165295
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
728113
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
165296
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
483442
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
165297
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
483448
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
165298
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
483446
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
165299
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
312515
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
165300
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
310155
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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