Displaying 163731-163740 of 1611142 results.
ID:
163731
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
309291
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
163732
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
705129
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
163733
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
895487
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
163734
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
895987
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
163735
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
797274
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
163736
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
1597120
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
163737
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
1597126
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
163738
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
310982
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
24
Qty Limit Days:
30
ID:
163739
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
313189
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
163740
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
309290
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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