Displaying 160651-160660 of 1611142 results.
ID:
160651
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
1811182
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
160652
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
1716215
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
160653
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
1716219
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
160654
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
1716223
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
160655
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
1649405
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
160656
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
852920
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
160657
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
313096
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
160658
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
198224
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
160659
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
283535
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
160660
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
198222
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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