Displaying 161171-161180 of 1611142 results.
ID:
161171
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
855861
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
161172
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
197890
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
161173
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
855873
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
161174
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
308989
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
161175
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
308988
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
161176
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
197443
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
161177
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
1099678
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
161178
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
1099870
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
161179
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
1356563
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
161180
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
1356572
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
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