Displaying 162061-162070 of 1611142 results.
ID:
162061
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
830245
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
1
Qty Limit Days:
1
ID:
162062
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
836636
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
1
Qty Limit Days:
999
ID:
162063
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
836634
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
2
Qty Limit Days:
999
ID:
162064
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
1597099
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
0
Qty Limit Days:
1
ID:
162065
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
1597103
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
0
Qty Limit Days:
1
ID:
162066
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
1292443
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
1
Qty Limit Days:
1
ID:
162067
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
804186
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
1
Qty Limit Days:
1
ID:
162068
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
1292459
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
1
Qty Limit Days:
1
ID:
162069
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
1658106
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
1
Qty Limit Days:
999
ID:
162070
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
1658102
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
2
Qty Limit Days:
999
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