Displaying 162181-162190 of 1611142 results.
ID:
162181
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
197730
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
162182
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
197731
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
162183
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
756059
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
162184
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
311376
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
150
Qty Limit Days:
30
ID:
162185
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
864761
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
3600
Qty Limit Days:
30
ID:
162186
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
864769
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
1800
Qty Limit Days:
30
ID:
162187
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
205301
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
162188
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
315187
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
162189
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
856724
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
162190
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
856733
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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