Displaying 162471-162480 of 1611142 results.
ID:
162471
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
1235267
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
162472
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
349094
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
162473
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
351109
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
162474
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
1098666
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
162475
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
1098678
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
162476
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
904467
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
162477
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
904475
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
162478
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
1490065
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
162479
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
199058
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
162480
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
596843
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
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