Displaying 160011-160020 of 1611142 results.
ID:
160011
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
1372999
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
160012
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
855858
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
160013
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
313306
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
160014
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
348472
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
160015
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
282401
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
160016
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
198427
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
160017
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
198428
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
160018
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
198429
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
160019
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
152695
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
160020
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
313762
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
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