Displaying 162301-162310 of 1611142 results.
ID:
162301
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
825170
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
162302
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
1801278
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
162303
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
966158
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
162304
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
966247
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
162305
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
966171
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
162306
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
966282
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
162307
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
966250
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
162308
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
847741
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
162309
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
966191
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
162310
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
966201
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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