Displaying 163231-163240 of 1611142 results.
ID:
163231
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
855336
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
163232
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
855342
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
163233
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
855348
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
163234
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
855300
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
163235
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
1809730
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
163236
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
1809738
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
163237
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
1809667
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
163238
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
1233711
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
163239
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
1013867
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
163240
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
854228
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
18
Qty Limit Days:
30
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