Displaying 161311-161320 of 1611142 results.
ID:
161311
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
857336
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
161312
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
857321
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
161313
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
857328
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
161314
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
857340
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
161315
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
259081
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
161316
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
835603
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
240
Qty Limit Days:
30
ID:
161317
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
283536
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
161318
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
199387
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
161319
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
312085
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
161320
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
308429
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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