Displaying 162961-162970 of 1611142 results.
ID:
162961
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
309329
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
162962
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
314078
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
162963
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
197635
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
162964
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
197634
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
162965
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
238154
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
180
Qty Limit Days:
30
ID:
162966
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
309844
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
240
Qty Limit Days:
30
ID:
162967
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
865117
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
162968
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
865123
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
162969
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
860918
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
162970
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
859841
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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