Displaying 165461-165470 of 1611142 results.
ID:
165461
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
207373
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
165462
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
1245268
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
165463
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
314088
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
165464
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
403914
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
165465
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
885209
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
165466
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
1922765
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
165467
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
1922763
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
165468
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
105553
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
165469
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
105590
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
165470
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
1364498
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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