Displaying 165841-165850 of 1611142 results.
ID:
165841
Formulary ID:
00021067
Formulary Version:
13
Contract Year:
2021
RXCUI:
106346
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
44
Qty Limit Days:
30
ID:
165842
Formulary ID:
00021067
Formulary Version:
13
Contract Year:
2021
RXCUI:
1098649
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
165843
Formulary ID:
00021067
Formulary Version:
13
Contract Year:
2021
RXCUI:
1098670
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
165844
Formulary ID:
00021067
Formulary Version:
13
Contract Year:
2021
RXCUI:
1098674
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
165845
Formulary ID:
00021067
Formulary Version:
13
Contract Year:
2021
RXCUI:
1923422
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
165846
Formulary ID:
00021067
Formulary Version:
13
Contract Year:
2021
RXCUI:
1923426
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
165847
Formulary ID:
00021067
Formulary Version:
13
Contract Year:
2021
RXCUI:
1923424
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
165848
Formulary ID:
00021067
Formulary Version:
13
Contract Year:
2021
RXCUI:
904589
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
165849
Formulary ID:
00021067
Formulary Version:
13
Contract Year:
2021
RXCUI:
309043
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
165850
Formulary ID:
00021067
Formulary Version:
13
Contract Year:
2021
RXCUI:
894859
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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