Displaying 162391-162400 of 1611142 results.
ID:
162391
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
904458
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
162392
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
197380
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
162393
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
198045
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
162394
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
317136
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
162395
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
198046
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
162396
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
198047
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
162397
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
312059
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
162398
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
866018
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
162399
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
603103
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
162400
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
106346
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
110
Qty Limit Days:
30
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