Displaying 163761-163770 of 1611142 results.
ID:
163761
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
597770
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
163762
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
597772
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
163763
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
403975
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
163764
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
259306
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
163765
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
1799654
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
163766
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
105292
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
163767
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
199592
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
163768
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
483090
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
163769
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
476399
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
163770
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
476515
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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