Displaying 163081-163090 of 1611142 results.
ID:
163081
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
996572
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
163082
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
198076
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
163083
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
198077
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
163084
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
198078
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
163085
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
198075
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
163086
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
313472
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
240
Qty Limit Days:
30
ID:
163087
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
198153
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
163088
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
905269
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
163089
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
905283
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
163090
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
198152
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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