Displaying 163981-163990 of 1611142 results.
ID:
163981
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
1251914
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
163982
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
722256
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
163983
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
1251918
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
163984
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
724142
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
163985
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
724156
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
163986
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
1251922
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
163987
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
1739788
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
600
Qty Limit Days:
30
ID:
163988
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
1149617
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
163989
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
213197
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
163990
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
997010
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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