Displaying 163131-163140 of 1611142 results.
ID:
163131
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
314182
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
163132
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
885219
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
163133
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
885213
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
163134
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
197426
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
180
Qty Limit Days:
30
ID:
163135
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
1049635
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
360
Qty Limit Days:
30
ID:
163136
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
198086
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
163137
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
199167
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
163138
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
199164
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
163139
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
763181
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
163140
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
763179
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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