Displaying 165621-165630 of 1611142 results.
ID:
165621
Formulary ID:
00021067
Formulary Version:
13
Contract Year:
2021
RXCUI:
1437968
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
165622
Formulary ID:
00021067
Formulary Version:
13
Contract Year:
2021
RXCUI:
1437969
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
165623
Formulary ID:
00021067
Formulary Version:
13
Contract Year:
2021
RXCUI:
897657
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
2400
Qty Limit Days:
30
ID:
165624
Formulary ID:
00021067
Formulary Version:
13
Contract Year:
2021
RXCUI:
1049604
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
1200
Qty Limit Days:
30
ID:
165625
Formulary ID:
00021067
Formulary Version:
13
Contract Year:
2021
RXCUI:
1874559
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
165626
Formulary ID:
00021067
Formulary Version:
13
Contract Year:
2021
RXCUI:
1874553
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
165627
Formulary ID:
00021067
Formulary Version:
13
Contract Year:
2021
RXCUI:
900575
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
165628
Formulary ID:
00021067
Formulary Version:
13
Contract Year:
2021
RXCUI:
977427
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
165629
Formulary ID:
00021067
Formulary Version:
13
Contract Year:
2021
RXCUI:
977434
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
165630
Formulary ID:
00021067
Formulary Version:
13
Contract Year:
2021
RXCUI:
977438
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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