Displaying 162001-162010 of 1611142 results.
ID:
162001
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
2180671
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
162002
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
1946848
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
162003
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
865098
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
162004
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
752388
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
162005
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
731281
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
162006
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
1652646
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
162007
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
1718936
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
162008
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
1652242
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
162009
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
1926332
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
162010
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
2380236
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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