Displaying 162941-162950 of 1611142 results.
ID:
162941
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
2052704
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
162942
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
2105817
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
162943
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
1300797
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
162944
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
1300803
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
162945
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
967388
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
162946
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
307730
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
162947
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
106302
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
162948
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
884308
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
162949
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
106387
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
162950
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
308714
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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