Displaying 160441-160450 of 1611142 results.
ID:
160441
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
391937
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
160442
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
1248057
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
160443
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
197305
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
160444
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
313786
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
160445
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
212787
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
160446
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
1312408
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
160447
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
1439894
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
160448
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
1439896
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
160449
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
1439899
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
160450
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
1439901
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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