Displaying 161041-161050 of 1611142 results.
ID:
161041
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
1049223
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
360
Qty Limit Days:
30
ID:
161042
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
1049227
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
360
Qty Limit Days:
30
ID:
161043
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
1049216
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
360
Qty Limit Days:
30
ID:
161044
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
854801
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
161045
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
313477
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
161046
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
861200
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
161047
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
1000647
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
161048
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
1000862
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
161049
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
1000897
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
161050
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
1923428
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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