Displaying 163091-163100 of 1611142 results.
ID:
163091
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
312615
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
163092
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
197365
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
163093
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
197366
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
163094
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
197363
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
163095
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
197364
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
163096
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
197383
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
163097
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
197382
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
163098
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
805515
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
380
Qty Limit Days:
30
ID:
163099
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
603378
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
163100
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
1190225
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
4
Qty Limit Days:
20
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