Displaying 162501-162510 of 1611142 results.
ID:
162501
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
856519
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
162502
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
856578
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
162503
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
856556
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
162504
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
1870230
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
4
Qty Limit Days:
30
ID:
162505
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
1870225
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
4
Qty Limit Days:
30
ID:
162506
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
242831
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
162507
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
239239
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
162508
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
856605
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
162509
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
903857
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
162510
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
856656
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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