Displaying 162781-162790 of 1611142 results.
ID:
162781
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
876529
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
162782
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
876519
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
162783
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
312593
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
162784
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
966220
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
162785
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
966221
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
162786
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
966222
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
162787
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
966253
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
162788
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
892246
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
162789
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
966248
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
162790
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
966224
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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