Displaying 163321-163330 of 1611142 results.
ID:
163321
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
858625
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
163322
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
602964
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
163323
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
402131
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
163324
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
349545
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
163325
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
349490
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
163326
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
349553
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
163327
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
349547
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
163328
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
856373
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
163329
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
310288
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
163330
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
197985
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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