Displaying 161181-161190 of 1611142 results.
ID:
161181
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
1356576
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
161182
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
1356580
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
161183
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
1356584
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
161184
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
1356588
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
161185
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
1790126
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
720
Qty Limit Days:
30
ID:
161186
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
824299
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
161187
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
824303
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
161188
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
1092360
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
161189
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
2054157
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
161190
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
1796665
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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