Displaying 163251-163260 of 1611142 results.
ID:
163251
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
197549
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
163252
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
197550
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
163253
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
2102717
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
163254
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
2102713
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
163255
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
2102715
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
163256
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
1314768
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
240
Qty Limit Days:
30
ID:
163257
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
211777
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
163258
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
348506
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
163259
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
1719862
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
163260
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
1719803
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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