Displaying 163691-163700 of 1611142 results.
ID:
163691
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
198070
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
163692
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
401938
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
163693
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
751566
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
163694
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
751568
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
163695
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
751570
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
163696
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
758032
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
6
Qty Limit Days:
28
ID:
163697
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
758027
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
6
Qty Limit Days:
28
ID:
163698
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
1650282
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
4
Qty Limit Days:
28
ID:
163699
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
1649996
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
6
Qty Limit Days:
28
ID:
163700
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
1650004
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
6
Qty Limit Days:
28
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