Displaying 162561-162570 of 1611142 results.
ID:
162561
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
1670016
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
162562
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
2107522
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
162563
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
616238
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
162564
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
847241
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
162565
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
153095
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
162566
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
197590
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
162567
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
197591
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
162568
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
197589
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
162569
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
197391
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
162570
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
197392
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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