Displaying 162831-162840 of 1611142 results.
ID:
162831
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
351137
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
162832
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
351136
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
162833
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
1855389
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
162834
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
199689
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
162835
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
603208
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
162836
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
603203
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
162837
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
603206
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
162838
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
748961
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
162839
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
751901
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
162840
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
810096
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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