Displaying 162791-162800 of 1611142 results.
ID:
162791
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
966225
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
162792
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
966249
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
162793
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
892251
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
162794
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
892255
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
162795
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
966270
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
162796
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
349477
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
162797
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
606726
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
162798
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
606730
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
162799
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
198324
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
162800
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
198325
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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