Displaying 161481-161490 of 1611142 results.
ID:
161481
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
1490036
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
180
Qty Limit Days:
30
ID:
161482
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
1490040
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
180
Qty Limit Days:
30
ID:
161483
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
351156
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
161484
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
1361615
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
161485
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
1361226
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
161486
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
861363
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
161487
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
861365
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
161488
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
861356
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
161489
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
1737244
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
161490
Formulary ID:
00021064
Formulary Version:
15
Contract Year:
2021
RXCUI:
1737581
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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