Displaying 160461-160470 of 1611142 results.
ID:
160461
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
706827
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
160462
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
706829
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
160463
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
706825
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
160464
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
858074
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
160465
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
858051
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
160466
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
858057
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
160467
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
858055
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
160468
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
858053
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
160469
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
2059017
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
160470
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
1232084
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
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