Displaying 160981-160990 of 1611142 results.
ID:
160981
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
242446
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
160982
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
213291
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
160983
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
1111339
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
160984
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
860805
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
160985
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
1111343
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
160986
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
284008
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
160987
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
313919
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
3
Qty Limit Days:
28
ID:
160988
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
1797867
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
160989
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
860107
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
160990
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
904481
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
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