Displaying 160661-160670 of 1611142 results.
ID:
160661
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
198150
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
160662
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
96304
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
160663
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
1313785
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
160664
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
207588
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
160665
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
213510
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
160666
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
310386
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
160667
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
199148
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
960
Qty Limit Days:
30
ID:
160668
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
311787
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
160669
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
1605088
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
160670
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
199370
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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