Displaying 161291-161300 of 1611142 results.
ID:
161291
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
730834
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
161292
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
543492
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
161293
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
1440936
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
161294
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
309077
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
161295
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
313428
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
161296
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
242680
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
960
Qty Limit Days:
30
ID:
161297
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
205292
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
161298
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
205290
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
161299
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
315134
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
161300
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
866021
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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