Displaying 165341-165350 of 1611142 results.
ID:
165341
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
833008
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
165342
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
883826
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
165343
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
1659929
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
165344
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
2102705
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
165345
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
2058906
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
165346
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
2049133
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
165347
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
2049121
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
165348
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
1365979
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
165349
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
1986331
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
165350
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
1918230
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
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