Displaying 161271-161280 of 1611142 results.
ID:
161271
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
198252
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
161272
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
1373489
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
161273
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
1373493
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
161274
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
1373498
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
161275
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
1040058
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
161276
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
858804
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
161277
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
794641
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
161278
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
617768
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
161279
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
1790892
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
161280
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
1790886
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
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