Displaying 161421-161430 of 1611142 results.
ID:
161421
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
309058
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
161422
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
419849
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
161423
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
1800499
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
161424
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
1800500
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
161425
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
992150
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
161426
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
724863
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
161427
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
724859
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
161428
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
724861
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
161429
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
403818
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
161430
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
897021
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
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