Displaying 162251-162260 of 1611142 results.
ID:
162251
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
2047596
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
162252
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
2047623
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
162253
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
2463737
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
162254
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
2102464
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
162255
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
2463733
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
162256
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
2102470
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
162257
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
2105856
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
162258
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
2102472
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
162259
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
2168548
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
162260
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
2058932
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
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