Displaying 162431-162440 of 1611142 results.
ID:
162431
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
608328
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
162432
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
1148141
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
270
Qty Limit Days:
30
ID:
162433
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
861960
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
162434
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
1090996
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
162435
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
197595
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
162436
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
197596
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
162437
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
753543
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
162438
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
2110455
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
162439
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
1918209
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
1
Qty Limit Days:
30
ID:
162440
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
1918194
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
1
Qty Limit Days:
30
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