Displaying 160581-160590 of 1611142 results.
ID:
160581
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
1011081
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
160582
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
1112687
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
160583
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
748879
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
160584
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
238153
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
180
Qty Limit Days:
30
ID:
160585
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
359385
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
160586
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
834768
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
160587
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
748859
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
160588
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
1359032
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
160589
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
1359027
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
160590
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
751875
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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