Displaying 163371-163380 of 1611142 results.
ID:
163371
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
200064
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
163372
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
199224
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
163373
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
313190
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
163374
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
198377
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
163375
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
198378
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
163376
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
1483744
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
163377
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
310346
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
163378
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
721791
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
163379
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
721794
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
163380
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
721796
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
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