Displaying 162081-162090 of 1611142 results.
ID:
162081
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
1549456
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
162082
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
1549454
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
162083
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
205562
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
162084
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
848330
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
162085
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
763489
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
162086
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
996559
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
162087
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
762833
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
162088
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
762836
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
162089
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
762839
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
162090
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
762843
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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