Displaying 163041-163050 of 1611142 results.
ID:
163041
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
261178
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
163042
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
313941
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
163043
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
198300
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
163044
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
106303
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
163045
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
313450
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
163046
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
313451
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
163047
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
308508
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
163048
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
310149
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
163049
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
1000673
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
163050
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
284254
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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