Displaying 161191-161200 of 1611142 results.
ID:
161191
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
1604384
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
161192
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
2054159
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
161193
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
1604350
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
161194
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
1792393
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
161195
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
1604395
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
161196
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
1604352
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
161197
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
212118
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
300
Qty Limit Days:
30
ID:
161198
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
542370
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
161199
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
1988768
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
161200
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
1921228
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
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