Displaying 160371-160380 of 1611142 results.
ID:
160371
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
250820
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
180
Qty Limit Days:
30
ID:
160372
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
858751
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
160373
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
858733
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
160374
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
848943
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
160375
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
1801279
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
160376
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
577776
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
160377
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
1486687
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
160378
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
197797
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
160379
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
197726
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
160380
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
1653217
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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