Displaying 165941-165950 of 1611142 results.
ID:
165941
Formulary ID:
00021067
Formulary Version:
13
Contract Year:
2021
RXCUI:
1362712
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
165942
Formulary ID:
00021067
Formulary Version:
13
Contract Year:
2021
RXCUI:
1362720
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
165943
Formulary ID:
00021067
Formulary Version:
13
Contract Year:
2021
RXCUI:
197975
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
165944
Formulary ID:
00021067
Formulary Version:
13
Contract Year:
2021
RXCUI:
308865
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
165945
Formulary ID:
00021067
Formulary Version:
13
Contract Year:
2021
RXCUI:
1303736
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
165946
Formulary ID:
00021067
Formulary Version:
13
Contract Year:
2021
RXCUI:
828379
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
165947
Formulary ID:
00021067
Formulary Version:
13
Contract Year:
2021
RXCUI:
856448
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
165948
Formulary ID:
00021067
Formulary Version:
13
Contract Year:
2021
RXCUI:
856457
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
165949
Formulary ID:
00021067
Formulary Version:
13
Contract Year:
2021
RXCUI:
856519
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
165950
Formulary ID:
00021067
Formulary Version:
13
Contract Year:
2021
RXCUI:
856578
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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