Displaying 162901-162910 of 1611142 results.
ID:
162901
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
1807518
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
162902
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
1860139
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
162903
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
800192
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
162904
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
1665021
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
162905
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
309090
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
162906
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
309092
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
162907
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
1665005
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
162908
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
311683
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
162909
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
727575
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
162910
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
1653470
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
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