Displaying 163651-163660 of 1611142 results.
ID:
163651
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
312846
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
163652
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
283858
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
163653
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
562704
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
163654
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
312849
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
163655
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
997229
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
163656
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
997223
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
163657
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
993503
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
163658
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
993518
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
163659
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
898723
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
163660
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
898687
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
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