Displaying 161431-161440 of 1611142 results.
ID:
161431
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
2049264
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
161432
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
1856424
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
161433
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
2052064
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
161434
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
861375
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
161435
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
861370
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
161436
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
1373745
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
161437
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
1922783
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
161438
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
1989085
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
224
Qty Limit Days:
28
ID:
161439
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
582595
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
210
Qty Limit Days:
30
ID:
161440
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
861966
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
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