Displaying 164041-164050 of 1611142 results.
ID:
164041
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
1191310
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
164042
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
313200
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
164043
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
103456
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
164044
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
310891
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
164045
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
308979
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
164046
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
197686
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
164047
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
197303
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
164048
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
197304
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
164049
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
197853
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
164050
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
858813
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
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