Displaying 163851-163860 of 1611142 results.
ID:
163851
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
1000064
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
163852
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
577154
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
163853
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
198140
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
163854
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
197987
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
163855
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
197986
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
163856
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
860215
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
163857
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
860221
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
163858
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
198056
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
163859
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
351276
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
163860
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
349194
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
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