Displaying 164131-164140 of 1611142 results.
ID:
164131
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
1091638
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
164132
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
1091623
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
164133
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
1543069
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
152
Qty Limit Days:
30
ID:
164134
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
1010878
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
164135
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
1085741
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
164136
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
1191302
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
164137
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
310152
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
164138
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
1190357
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
164139
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
2180999
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
164140
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
1716268
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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