Displaying 160771-160780 of 1611142 results.
ID:
160771
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
313584
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
160772
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
314277
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
160773
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
313586
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
160774
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
311759
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
160775
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
866511
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
160776
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
866514
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
160777
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
476809
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
160778
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
197499
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
160779
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
197500
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
160780
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
198105
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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