Displaying 164191-164200 of 1611142 results.
ID:
164191
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
360110
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
164192
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
206913
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
164193
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
206917
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
164194
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
1657151
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
6
Qty Limit Days:
30
ID:
164195
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
749206
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
164196
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
1659592
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
164197
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
1659598
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
164198
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
240984
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
164199
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
1659131
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
164200
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
1659137
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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