Displaying 162281-162290 of 1611142 results.
ID:
162281
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
1921017
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
162282
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
1921010
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
162283
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
1488619
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
162284
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
1488617
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
162285
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
1921468
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
162286
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
152971
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
480
Qty Limit Days:
30
ID:
162287
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
1873087
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
162288
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
1940709
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
84
Qty Limit Days:
28
ID:
162289
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
835896
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
162290
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
835835
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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