Displaying 163331-163340 of 1611142 results.
ID:
163331
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
197984
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
163332
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
598006
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
163333
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
197650
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
163334
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
861601
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
163335
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
861597
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
1
Qty Limit Days:
28
ID:
163336
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
615882
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
163337
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
643070
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
163338
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
855926
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
163339
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
855906
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
163340
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
855664
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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