Displaying 165641-165650 of 1611142 results.
ID:
165641
Formulary ID:
00021067
Formulary Version:
13
Contract Year:
2021
RXCUI:
756059
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
165642
Formulary ID:
00021067
Formulary Version:
13
Contract Year:
2021
RXCUI:
311376
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
150
Qty Limit Days:
30
ID:
165643
Formulary ID:
00021067
Formulary Version:
13
Contract Year:
2021
RXCUI:
864761
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
1200
Qty Limit Days:
30
ID:
165644
Formulary ID:
00021067
Formulary Version:
13
Contract Year:
2021
RXCUI:
864769
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
600
Qty Limit Days:
30
ID:
165645
Formulary ID:
00021067
Formulary Version:
13
Contract Year:
2021
RXCUI:
205301
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
165646
Formulary ID:
00021067
Formulary Version:
13
Contract Year:
2021
RXCUI:
315187
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
165647
Formulary ID:
00021067
Formulary Version:
13
Contract Year:
2021
RXCUI:
856724
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
165648
Formulary ID:
00021067
Formulary Version:
13
Contract Year:
2021
RXCUI:
856733
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
165649
Formulary ID:
00021067
Formulary Version:
13
Contract Year:
2021
RXCUI:
309371
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
165650
Formulary ID:
00021067
Formulary Version:
13
Contract Year:
2021
RXCUI:
197577
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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