Displaying 164071-164080 of 1611142 results.
ID:
164071
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
389242
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
164072
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
204119
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
164073
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
1359020
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
164074
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
1358775
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
164075
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
751884
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
164076
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
1011081
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
164077
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
1112687
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
164078
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
748879
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
164079
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
238153
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
180
Qty Limit Days:
30
ID:
164080
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
359385
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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