Displaying 163611-163620 of 1611142 results.
ID:
163611
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
1650143
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
163612
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
1298910
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
163613
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
1298816
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
163614
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
1298906
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
163615
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
858613
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
163616
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
858616
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
163617
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
858747
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
163618
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
1542997
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
4
Qty Limit Days:
28
ID:
163619
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
1432969
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
4
Qty Limit Days:
28
ID:
163620
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
904880
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
4
Qty Limit Days:
28
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