Displaying 162621-162630 of 1611142 results.
ID:
162621
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
859192
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
162622
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
1539762
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
162623
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
991233
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
162624
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
308047
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
162625
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
308048
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
162626
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
197321
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
162627
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
197322
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
150
Qty Limit Days:
30
ID:
162628
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
197444
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
162629
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
197445
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
162630
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
197816
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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