Displaying 160631-160640 of 1611142 results.
ID:
160631
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
1650201
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
160632
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
748977
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
160633
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
1091632
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
160634
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
1091629
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
160635
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
1091635
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
160636
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
1091638
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
160637
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
1091623
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
160638
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
1543069
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
152
Qty Limit Days:
30
ID:
160639
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
1010878
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
160640
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
1085741
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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