Displaying 165631-165640 of 1611142 results.
ID:
165631
Formulary ID:
00021067
Formulary Version:
13
Contract Year:
2021
RXCUI:
1304979
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
165632
Formulary ID:
00021067
Formulary Version:
13
Contract Year:
2021
RXCUI:
892625
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
900
Qty Limit Days:
30
ID:
165633
Formulary ID:
00021067
Formulary Version:
13
Contract Year:
2021
RXCUI:
311355
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
165634
Formulary ID:
00021067
Formulary Version:
13
Contract Year:
2021
RXCUI:
197893
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
165635
Formulary ID:
00021067
Formulary Version:
13
Contract Year:
2021
RXCUI:
313932
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
165636
Formulary ID:
00021067
Formulary Version:
13
Contract Year:
2021
RXCUI:
309843
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
1200
Qty Limit Days:
30
ID:
165637
Formulary ID:
00021067
Formulary Version:
13
Contract Year:
2021
RXCUI:
1190568
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
165638
Formulary ID:
00021067
Formulary Version:
13
Contract Year:
2021
RXCUI:
1797907
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
16
Qty Limit Days:
30
ID:
165639
Formulary ID:
00021067
Formulary Version:
13
Contract Year:
2021
RXCUI:
197730
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
165640
Formulary ID:
00021067
Formulary Version:
13
Contract Year:
2021
RXCUI:
197731
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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