Displaying 163661-163670 of 1611142 results.
ID:
163661
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
898690
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
163662
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
898719
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
163663
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
857169
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
163664
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
857183
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
163665
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
857187
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
163666
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
197732
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
163667
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
312750
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
163668
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
312748
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
163669
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
312079
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
163670
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
208185
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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