Displaying 163181-163190 of 1611142 results.
ID:
163181
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
1654630
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
163182
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
2000007
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
12
Qty Limit Days:
28
ID:
163183
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
309339
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
163184
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
309335
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
163185
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
309336
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
163186
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
308207
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
163187
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
1721475
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
163188
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
789980
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
163189
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
545835
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
163190
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
754508
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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