Displaying 165321-165330 of 1611142 results.
ID:
165321
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
866910
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
165322
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
308867
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
165323
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
198037
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
165324
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
1092357
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
165325
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
1798370
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
165326
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
1798375
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
165327
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
200132
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
360
Qty Limit Days:
30
ID:
165328
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
199149
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
180
Qty Limit Days:
30
ID:
165329
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
199150
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
165330
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
311915
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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