Displaying 161371-161380 of 1611142 results.
ID:
161371
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
310385
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
161372
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
313989
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
161373
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
979485
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
161374
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
979492
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
161375
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
979480
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
161376
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
248109
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
161377
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
314108
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
161378
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
311290
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
161379
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
854984
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
161380
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
854988
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
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