Displaying 162771-162780 of 1611142 results.
ID:
162771
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
197960
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
162772
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
198285
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
162773
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
856422
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
162774
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
199903
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
162775
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
998671
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
162776
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
998675
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
162777
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
998679
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
162778
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
1000048
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
162779
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
876524
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
162780
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
876514
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
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