Displaying 163491-163500 of 1611142 results.
ID:
163491
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
1659287
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
163492
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
242800
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
163493
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
312127
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
163494
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
1721315
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
163495
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
1721314
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
163496
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
1361574
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
163497
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
351246
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
163498
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
317094
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
163499
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
349435
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
163500
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
349434
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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