Displaying 163031-163040 of 1611142 results.
ID:
163031
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
762334
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
163032
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
753483
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
163033
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
750267
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
163034
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
801185
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
163035
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
898362
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
163036
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
312529
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
163037
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
977880
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
163038
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
2047882
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
163039
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
310190
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
163040
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
310191
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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