Displaying 162371-162380 of 1611142 results.
ID:
162371
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
665022
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
600
Qty Limit Days:
30
ID:
162372
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
1720881
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
162373
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
1251596
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
162374
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
207035
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
162375
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
261101
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
162376
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
847232
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
162377
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
285018
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
162378
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
866094
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
162379
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
866083
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
162380
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
211817
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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