Displaying 165441-165450 of 1611142 results.
ID:
165441
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
2472789
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
165442
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
2478450
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
165443
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
2369403
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
165444
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
1594673
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
165445
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
905059
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
165446
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
905064
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
165447
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
905057
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
165448
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
198050
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
165449
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
198049
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
165450
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
1251334
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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