Displaying 165481-165490 of 1611142 results.
ID:
165481
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
545278
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
165482
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
967021
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
165483
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
1248442
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
165484
Formulary ID:
00021067
Formulary Version:
13
Contract Year:
2021
RXCUI:
1551300
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
2
Qty Limit Days:
28
ID:
165485
Formulary ID:
00021067
Formulary Version:
13
Contract Year:
2021
RXCUI:
1551306
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
2
Qty Limit Days:
28
ID:
165486
Formulary ID:
00021067
Formulary Version:
13
Contract Year:
2021
RXCUI:
1745108
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
1
Qty Limit Days:
28
ID:
165487
Formulary ID:
00021067
Formulary Version:
13
Contract Year:
2021
RXCUI:
2395779
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
2
Qty Limit Days:
28
ID:
165488
Formulary ID:
00021067
Formulary Version:
13
Contract Year:
2021
RXCUI:
2370174
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
165489
Formulary ID:
00021067
Formulary Version:
13
Contract Year:
2021
RXCUI:
2395785
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
2
Qty Limit Days:
28
ID:
165490
Formulary ID:
00021067
Formulary Version:
13
Contract Year:
2021
RXCUI:
2370170
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
180
Qty Limit Days:
30
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