Displaying 162641-162650 of 1611142 results.
ID:
162641
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
608934
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
162642
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
832718
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
162643
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
1801299
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
162644
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
832731
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
162645
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
1801295
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
162646
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
2123111
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
162647
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
198071
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
162648
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
197541
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
162649
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
753478
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
162650
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
753479
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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