Displaying 162571-162580 of 1611142 results.
ID:
162571
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
597852
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
162572
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
597850
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
162573
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
310273
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
162574
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
284245
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
162575
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
835886
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
162576
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
866049
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
162577
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
896019
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
162578
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
896027
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
162579
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
896023
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
162580
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
213484
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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