Displaying 163721-163730 of 1611142 results.
ID:
163721
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
197735
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
163722
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
543546
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
163723
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
1085644
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
163724
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
1014314
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
163725
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
1085686
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
163726
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
238151
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
1800
Qty Limit Days:
30
ID:
163727
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
151030
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
163728
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
977990
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
163729
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
977978
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
163730
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
309289
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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