Displaying 163781-163790 of 1611142 results.
ID:
163781
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
725023
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
163782
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
311995
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
163783
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
1648759
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
163784
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
903847
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
163785
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
1307061
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
163786
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
1115698
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
780
Qty Limit Days:
30
ID:
163787
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
1308569
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
163788
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
351209
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
163789
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
310362
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
163790
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
197623
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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