Displaying 163171-163180 of 1611142 results.
ID:
163171
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
308191
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
163172
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
899461
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
163173
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
899485
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
163174
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
1101926
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
163175
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
899495
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
163176
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
1101932
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
163177
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
199119
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
163178
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
1793916
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
6
Qty Limit Days:
30
ID:
163179
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
1657173
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
6
Qty Limit Days:
30
ID:
163180
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
1657160
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
6
Qty Limit Days:
30
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