Displaying 161071-161080 of 1611142 results.
ID:
161071
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
198181
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
161072
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
251322
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
161073
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
1242611
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
161074
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
1242613
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
161075
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
1663728
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
161076
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
1242615
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
161077
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
763457
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
161078
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
1667666
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
161079
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
1667670
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
161080
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
1667674
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
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