Displaying 160531-160540 of 1611142 results.
ID:
160531
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
310364
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
160532
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
238920
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
160533
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
204135
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
160534
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
1370754
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
160535
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
1370750
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
160536
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
861487
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
160537
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
1992281
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
160538
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
203088
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
160539
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
313227
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
160540
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
857366
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
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