Displaying 162801-162810 of 1611142 results.
ID:
162801
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
198323
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
162802
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
855942
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
162803
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
855863
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
162804
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
313366
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
162805
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
1000070
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
162806
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
242333
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
4
Qty Limit Days:
28
ID:
162807
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
241527
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
4
Qty Limit Days:
28
ID:
162808
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
403922
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
4
Qty Limit Days:
28
ID:
162809
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
402109
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
162810
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
855875
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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