Displaying 162441-162450 of 1611142 results.
ID:
162441
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
1918203
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
1
Qty Limit Days:
30
ID:
162442
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
904870
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
4
Qty Limit Days:
28
ID:
162443
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
904876
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
4
Qty Limit Days:
28
ID:
162444
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
1314763
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
240
Qty Limit Days:
30
ID:
162445
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
312594
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
162446
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
198141
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
162447
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
834046
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
162448
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
834040
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
162449
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
197536
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
162450
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
429212
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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