Displaying 163071-163080 of 1611142 results.
ID:
163071
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
582926
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
163072
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
1597123
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
163073
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
1597129
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
163074
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
238134
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
180
Qty Limit Days:
30
ID:
163075
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
828299
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
163076
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
1745091
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
163077
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
1801289
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
163078
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
311892
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
163079
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
311893
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
163080
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
199521
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
180
Qty Limit Days:
30
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