Displaying 161441-161450 of 1611142 results.
ID:
161441
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
1442143
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
161442
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
1488667
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
161443
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
1488671
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
161444
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
1488675
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
161445
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
1488679
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
161446
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
1858833
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
161447
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
2261800
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
240
Qty Limit Days:
30
ID:
161448
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
1799001
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
161449
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
1790317
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
161450
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
727714
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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