Displaying 160171-160180 of 1611142 results.
ID:
160171
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
197732
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
160172
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
312750
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
160173
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
312748
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
160174
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
312079
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
160175
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
208185
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
160176
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
577127
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
160177
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
404013
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
160178
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
404011
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
160179
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
597990
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
160180
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
597984
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
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