Displaying 162751-162760 of 1611142 results.
ID:
162751
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
197439
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
162752
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
1298861
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
162753
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
1298870
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
162754
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
314034
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
162755
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
198284
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
162756
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
197316
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
162757
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
310671
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
162758
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
197506
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
162759
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
856429
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
162760
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
310670
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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