Displaying 161451-161460 of 1611142 results.
ID:
161451
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
314230
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
161452
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
242120
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
161453
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
1652639
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
161454
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
628958
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
161455
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
861646
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
161456
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
861650
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
161457
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
861654
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
161458
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
349591
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
161459
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
349592
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
161460
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
349593
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
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