Displaying 162071-162080 of 1611142 results.
ID:
162071
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
798451
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
0
Qty Limit Days:
1
ID:
162072
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
830263
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
1
Qty Limit Days:
1
ID:
162073
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
1658150
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
1
Qty Limit Days:
1
ID:
162074
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
2055815
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
162075
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
1441740
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
162076
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
835721
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
162077
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
1046920
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
162078
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
404457
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
162079
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
404458
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
162080
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
404459
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
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