Displaying 165331-165340 of 1611142 results.
ID:
165331
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
1867544
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
165332
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
1725064
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
165333
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
1437713
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
165334
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
1918242
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
165335
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
1862595
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
165336
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
1921589
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
165337
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
1862590
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
165338
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
831246
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
165339
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
1809416
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
165340
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
849515
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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