Displaying 164461-164470 of 1611142 results.
ID:
164461
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
859186
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
164462
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
197625
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
164463
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
197626
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
164464
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
197627
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
164465
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
197628
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
164466
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
199390
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
164467
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
197553
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
164468
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
328160
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
164469
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
310490
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
240
Qty Limit Days:
30
ID:
164470
Formulary ID:
00021065
Formulary Version:
15
Contract Year:
2021
RXCUI:
310488
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
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