Displaying 162291-162300 of 1611142 results.
ID:
162291
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
1115468
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
162292
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
1926069
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
360
Qty Limit Days:
30
ID:
162293
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
1115259
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
162294
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
1115459
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
162295
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
1115464
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
162296
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
1115473
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
162297
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
1946522
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
162298
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
966271
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
162299
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
727705
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
162300
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
1655728
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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