Displaying 162091-162100 of 1611142 results.
ID:
162091
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
762875
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
162092
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
762849
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
162093
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
762852
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
162094
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
762859
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
162095
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
762868
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
162096
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
762897
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
162097
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
1011987
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
162098
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
1009341
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
162099
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
1000089
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
162100
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
1190955
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
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