Displaying 162451-162460 of 1611142 results.
ID:
162451
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
309374
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
162452
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
1299917
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
162453
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
995218
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
162454
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
1299896
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
162455
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
866090
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
162456
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
643066
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
162457
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
1652084
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
162458
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
1006801
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
180
Qty Limit Days:
30
ID:
162459
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
996921
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
162460
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
721773
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
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