Displaying 161301-161310 of 1611142 results.
ID:
161301
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
1992303
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
161302
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
427163
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
161303
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
313123
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
161304
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
198013
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
161305
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
198012
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
161306
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
1098141
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
161307
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
1098134
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
161308
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
577033
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
161309
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
995624
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
161310
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
2266506
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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