Displaying 163351-163360 of 1611142 results.
ID:
163351
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
1539953
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
163352
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
1539955
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
163353
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
1605086
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
163354
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
904419
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
163355
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
866436
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
163356
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
855633
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
163357
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
1607784
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
163358
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
199245
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
240
Qty Limit Days:
30
ID:
163359
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
199246
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
163360
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
199247
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
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