Displaying 163001-163010 of 1611142 results.
ID:
163001
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
197658
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
163002
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
197659
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
163003
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
197657
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
163004
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
541878
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
163005
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
541892
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
163006
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
577961
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
163007
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
541363
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
163008
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
404059
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
163009
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
404062
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
163010
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
643488
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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