Displaying 163861-163870 of 1611142 results.
ID:
163861
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
349195
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
163862
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
349198
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
163863
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
403825
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
163864
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
312439
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
163865
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
198103
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
163866
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
250820
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
180
Qty Limit Days:
30
ID:
163867
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
858751
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
163868
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
858733
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
163869
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
848943
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
163870
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
1801279
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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