Displaying 162971-162980 of 1611142 results.
ID:
162971
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
313159
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
12
Qty Limit Days:
30
ID:
162972
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
197516
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
162973
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
197517
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
162974
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
996740
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
300
Qty Limit Days:
30
ID:
162975
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
311369
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
320
Qty Limit Days:
30
ID:
162976
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
1482908
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
180
Qty Limit Days:
30
ID:
162977
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
310497
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
162978
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
905369
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
162979
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
311166
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
162980
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
197832
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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