Displaying 162111-162120 of 1611142 results.
ID:
162111
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
861637
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
162112
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
861206
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
162113
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
904170
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
162114
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
854859
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
162115
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
1859000
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
18
Qty Limit Days:
30
ID:
162116
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
1604544
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
162117
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
2002420
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
162118
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
1797880
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
162119
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
1113046
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
162120
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
863836
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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