Displaying 160851-160860 of 1611142 results.
ID:
160851
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
1649961
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
160852
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
1593858
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
160853
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
854832
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
160854
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
854836
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
160855
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
854840
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
160856
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
854852
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
160857
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
854848
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
160858
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
854844
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
160859
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
213360
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
160860
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
404449
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
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