Displaying 162121-162130 of 1611142 results.
ID:
162121
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
863841
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
162122
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
863829
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
162123
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
1373327
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
162124
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
207370
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
162125
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
706467
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
162126
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
905164
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
162127
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
688242
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
162128
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
205739
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
162129
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
208513
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
162130
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
404550
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
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