Displaying 162611-162620 of 1611142 results.
ID:
162611
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
198228
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
162612
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
852913
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
162613
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
993536
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
162614
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
852877
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
162615
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
197979
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
162616
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
197978
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
162617
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
1246306
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
10
Qty Limit Days:
30
ID:
162618
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
1246290
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
10
Qty Limit Days:
30
ID:
162619
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
1666334
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
162620
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
1116639
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
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