Displaying 160551-160560 of 1611142 results.
ID:
160551
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
197686
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
160552
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
197303
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
160553
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
197304
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
160554
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
197853
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
160555
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
858813
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
160556
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
858817
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
160557
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
858810
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
160558
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
308973
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
160559
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
858824
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
160560
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
858828
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
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