Displaying 163581-163590 of 1611142 results.
ID:
163581
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
2045201
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
163582
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
313115
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
163583
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
239240
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
163584
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
1596108
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
300
Qty Limit Days:
30
ID:
163585
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
809871
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
163586
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
2058845
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
180
Qty Limit Days:
30
ID:
163587
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
864661
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
163588
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
2001424
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
163589
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
1363408
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
163590
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
1363410
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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