Displaying 162171-162180 of 1611142 results.
ID:
162171
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
977434
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
162172
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
977438
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
162173
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
1304979
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
162174
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
892625
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
300
Qty Limit Days:
30
ID:
162175
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
311355
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
162176
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
197893
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
162177
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
313932
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
162178
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
309843
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
162179
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
1190568
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
162180
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
1797907
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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