Displaying 162841-162850 of 1611142 results.
ID:
162841
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
749761
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
162842
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
748868
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
162843
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
759743
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
162844
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
1095224
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
162845
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
748806
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
162846
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
748804
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
162847
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
1607990
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
162848
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
1373503
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
162849
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
310404
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
162850
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
310405
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
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