Displaying 163531-163540 of 1611142 results.
ID:
163531
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
905395
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
163532
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
198371
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
163533
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
197817
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
163534
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
197818
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
163535
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
197889
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
163536
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
855172
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
163537
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
242679
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
163538
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
309313
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
163539
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
351285
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
163540
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
2123194
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
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