Displaying 162761-162770 of 1611142 results.
ID:
162761
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
1373483
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
162762
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
1373491
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
162763
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
866491
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
162764
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
197963
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
162765
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
197508
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
162766
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
197318
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
162767
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
313354
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
162768
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
198274
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
162769
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
198275
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
162770
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
198270
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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