Displaying 162651-162660 of 1611142 results.
ID:
162651
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
1428933
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
162652
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
1091828
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
162653
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
351173
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
162654
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
351174
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
162655
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
351175
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
162656
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
794639
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
162657
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
616578
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
162658
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
999965
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
162659
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
801417
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
162660
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
204520
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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