Displaying 162311-162320 of 1611142 results.
ID:
162311
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
966205
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
162312
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
966251
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
162313
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
966218
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
162314
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
835892
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
162315
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
966185
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
162316
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
212957
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
162317
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
2056897
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
162318
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
746609
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
162319
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
845512
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
162320
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
847734
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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