Displaying 163871-163880 of 1611142 results.
ID:
163871
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
577776
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
163872
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
1486687
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
163873
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
197797
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
163874
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
197726
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
163875
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
1653217
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
163876
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
860225
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
163877
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
1111018
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
163878
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
212381
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
163879
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
1430383
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
163880
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
1440185
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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