Displaying 160691-160700 of 1611142 results.
ID:
160691
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
1099563
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
160692
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
904932
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
1
Qty Limit Days:
28
ID:
160693
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
313758
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
160694
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
199655
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
160695
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
349208
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
160696
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
360110
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
160697
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
206913
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
160698
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
206917
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
160699
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
1657151
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
6
Qty Limit Days:
30
ID:
160700
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
749206
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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