Displaying 162631-162640 of 1611142 results.
ID:
162631
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
197815
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
162632
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
1001004
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
162633
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
351264
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
162634
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
848951
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
162635
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
834346
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
162636
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
993466
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
162637
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
993470
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
162638
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
993462
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
162639
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
1867547
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
162640
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
2047868
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
180
Qty Limit Days:
30
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