Displaying 163951-163960 of 1611142 results.
ID:
163951
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
615979
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
163952
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
402252
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
163953
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
207059
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
15
Qty Limit Days:
30
ID:
163954
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
211140
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
163955
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
706831
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
163956
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
706827
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
163957
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
706829
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
163958
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
706825
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
163959
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
858074
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
163960
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
858051
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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