Displaying 162161-162170 of 1611142 results.
ID:
162161
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
199519
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
162162
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
197624
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
162163
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
1437968
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
162164
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
1437969
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
162165
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
897657
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
1500
Qty Limit Days:
30
ID:
162166
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
1049604
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
3900
Qty Limit Days:
30
ID:
162167
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
1874559
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
162168
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
1874553
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
162169
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
900575
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
360
Qty Limit Days:
30
ID:
162170
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
977427
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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