Displaying 160491-160500 of 1611142 results.
ID:
160491
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
1251922
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
160492
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
1739788
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
600
Qty Limit Days:
30
ID:
160493
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
1149617
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
160494
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
213197
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
160495
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
997010
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
160496
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
866427
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
160497
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
866412
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
160498
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
866419
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
160499
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
198034
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
160500
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
198035
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
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