Displaying 165391-165400 of 1611142 results.
ID:
165391
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
2058525
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
165392
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
208083
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
165393
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
2275613
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
165394
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
2272118
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
165395
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
2272122
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
165396
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
2272126
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
165397
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
2394947
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
165398
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
2199304
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
165399
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
2199308
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
165400
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
2199312
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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