Displaying 164431-164440 of 1611142 results.
ID:
164431
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
351257
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
164432
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
310261
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
164433
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
308459
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
164434
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
141963
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
164435
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
309332
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
75
Qty Limit Days:
30
ID:
164436
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
197519
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
164437
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
1000126
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
164438
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
1000153
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
164439
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
198232
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
164440
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
311727
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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