Displaying 162261-162270 of 1611142 results.
ID:
162261
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
1148506
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
162262
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
1148502
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
162263
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
2168540
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
162264
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
1313887
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
162265
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
855673
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
162266
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
207331
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
162267
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
207346
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
162268
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
207361
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
162269
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
207088
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
162270
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
855871
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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