Displaying 164031-164040 of 1611142 results.
ID:
164031
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
861487
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
164032
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
1992281
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
164033
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
203088
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
164034
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
313227
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
164035
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
857366
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
164036
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
313226
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
164037
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
308715
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
164038
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
848208
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
164039
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
848176
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
164040
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
848178
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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