Displaying 162151-162160 of 1611142 results.
ID:
162151
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
905168
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
162152
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
892589
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
3000
Qty Limit Days:
30
ID:
162153
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
894780
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
1500
Qty Limit Days:
30
ID:
162154
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
997170
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
180
Qty Limit Days:
30
ID:
162155
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
997287
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
180
Qty Limit Days:
30
ID:
162156
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
997296
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
180
Qty Limit Days:
30
ID:
162157
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
310792
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
162158
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
310793
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
162159
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
835589
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
162160
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
477234
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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